Healther Providers Data Logo

13D0521216 CLIA NUMBER - WEST VALLEY MEDICAL GROUP

Laboratory Demographics

CLIA Number: 13D0521216

Facility Name: WEST VALLEY MEDICAL GROUP

Facility Address:
1906 FAIRVIEW AVE #230
CALDWELL, ID
ZIP 83605
Get Directions

Facility Phone Number: 208 459-4667

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1871673798

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 13D0521216
LAB Type Physician Office
Facility Name WEST VALLEY MEDICAL GROUP
Street 1906 FAIRVIEW AVE #230
City CALDWELL
State ID
ZIP 83605
Phone 208 459-4667
CertificateType 4
CertificateEffectiveDate 4/1/2023
CertificateExpirationDate 3/31/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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