CLIA Code Details

Clinical Laboratory Code : 13D2331366

HENRY'S FORK SURGERY CENTER (AMBULATORY SURGERY CENTER)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 13D2331366
Clinical laboratory number
Lab Name HENRY'S FORK SURGERY CENTER
Laboratory Name
Lab Type Ambulatory Surgery Center
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 208-504-3739
Laboratory telephone number
Fax N/S (NOT SPECIFIED)
Fax number of the provider.

Facility Location

Street Address 3925 WASHINGTON PARKWAY
Primary location adress line
City IDAHO FALLS
Primary location city name
State ID
Primary location state name
Zip 83404
Primary location postal code

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