13D2307141 CLIA NUMBER - WELLBERRY HEALTH

Laboratory Demographics

  • CLIA Code: 13D2307141
  • Facility Name: WELLBERRY HEALTH
  • Facility Address: 333 S WOODRUFF AVE
    IDAHO FALLS, ID
    ZIP 83401
  • Facility Phone: 208 413-7917
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW R. BRADBURY
  • NPI Number: 1902654429
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 13D2307141
LAB Type Physician Office
Facility Name WELLBERRY HEALTH
Street 333 S WOODRUFF AVE
City IDAHO FALLS
State ID
ZIP 83401
Phone 208 413-7917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director ANDREW R. BRADBURY

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This page was last updated on: 9/29/2025