13D0056658 CLIA NUMBER - BOUNDARY COMMUNITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 13D0056658
  • Facility Name: BOUNDARY COMMUNITY HOSPITAL
  • Facility Address: 6640 KANIKSU ST
    BONNERS FERRY, ID
    ZIP 83805
  • Facility Phone: 208 267-4853
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GREGORY BOTKIN
  • NPI Number: 1235598137
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D0056658
LAB Type Hospital
Facility Name BOUNDARY COMMUNITY HOSPITAL
Street 6640 KANIKSU ST
City BONNERS FERRY
State ID
ZIP 83805
Phone 208 267-4853
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Hospital
Lab Director DR. GREGORY BOTKIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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