13D0522286 CLIA NUMBER - MOSCOW FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 13D0522286

Facility Name: MOSCOW FAMILY MEDICINE

Facility Address:
623 S MAIN ST
MOSCOW, ID
ZIP 83843
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Facility Phone Number: 208 883-2227

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1538634522

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	13D0522286
LAB Type	Physician Office
Facility Name	MOSCOW FAMILY MEDICINE
Street	623 S MAIN ST
City	MOSCOW
State	ID
ZIP	83843
Phone	208 883-2227
CertificateType	1
CertificateEffectiveDate	11/25/2023
CertificateExpirationDate	11/24/2025
FacilityType	Accreditation

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