13D0056686 CLIA NUMBER - GRITMAN MEDICAL CENTER

Laboratory Demographics

CLIA Number: 13D0056686

Facility Name: GRITMAN MEDICAL CENTER

Facility Address:
700 S MAIN ST
MOSCOW, ID
ZIP 83843
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Facility Phone Number: 208 883-6402

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1932769700

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	13D0056686
LAB Type	Hospital
Facility Name	GRITMAN MEDICAL CENTER
Street	700 S MAIN ST
City	MOSCOW
State	ID
ZIP	83843
Phone	208 883-6402
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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