13D0056658 CLIA NUMBER - BOUNDARY COMMUNITY HOSPITAL

Laboratory Demographics

CLIA Number: 13D0056658

Facility Name: BOUNDARY COMMUNITY HOSPITAL

Facility Address:
6640 KANIKSU ST
BONNERS FERRY, ID
ZIP 83805
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Facility Phone Number: 208 267-4853

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1235598137

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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
CertificateType	2
CertificateEffectiveDate	5/18/2023
CertificateExpirationDate	5/17/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024