13D0522323 CLIA NUMBER - POST FALLS FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 13D0522323

Facility Name: POST FALLS FAMILY MEDICINE

Facility Address:
1220 E POLSTON AVE
POST FALLS, ID
ZIP 83854
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Facility Phone Number: 208 773-1577

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1952357584

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	13D0522323
LAB Type	Physician Office
Facility Name	POST FALLS FAMILY MEDICINE
Street	1220 E POLSTON AVE
City	POST FALLS
State	ID
ZIP	83854
Phone	208 773-1577
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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