13D2308961 CLIA NUMBER - COMMUNITY FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 13D2308961
  • Facility Name: COMMUNITY FAMILY CLINIC
  • Facility Address: 4002 E 397 N
    RIGBY, ID
    ZIP 83442
  • Facility Phone: 208 528-7655
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JOSHUA STRINGAM
  • NPI Number: 1700542255
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2308961
LAB Type Federally Qualified Health Center
Facility Name COMMUNITY FAMILY CLINIC
Street 4002 E 397 N
City RIGBY
State ID
ZIP 83442
Phone 208 528-7655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Federally Qualified Health Center
Lab Director JOSHUA STRINGAM

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This page was last updated on: 3/20/2025