Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
13D2271698
|
|
Clinical laboratory number
|
|
Lab Name
|
RAISE THE BOTTOM ADDICTION TREATMENT - POCATELLO
|
|
Laboratory Name
|
|
Lab Type
|
Other - OPITAE TREATMENT PROGRAM
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
208-433-0400
|
|
Laboratory telephone number
|
|
Fax
|
208-904-1737
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
2785 BANNOCK HWY
|
|
Primary location adress line
|
|
City
|
POCATELLO
|
|
Primary location city name
|
|
State
|
ID
|
|
Primary location state name
|
|
Zip
|
83204
|
|
Primary location postal code
|