13D0520642 CLIA NUMBER - BERNARD BOEHMER MD PA

Laboratory Demographics

  • CLIA Code: 13D0520642
  • Facility Name: BERNARD BOEHMER MD PA
  • Facility Address: 1335 ALBION AVE
    BURLEY, ID
    ZIP 83318
  • Facility Phone: 208 678-2271
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BERNARD BOEHMER
  • NPI Number: 1902891484
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 13D0520642
LAB Type Physician Office
Facility Name BERNARD BOEHMER MD PA
Street 1335 ALBION AVE
City BURLEY
State ID
ZIP 83318
Phone 208 678-2271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director BERNARD BOEHMER

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