13D0522334 CLIA NUMBER - BENEWAH COMMUNITY HOSPITAL

Laboratory Demographics

CLIA Number: 13D0522334

Facility Name: BENEWAH COMMUNITY HOSPITAL

Facility Address:
229 S 7TH ST
SAINT MARIES, ID
ZIP 83861
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Facility Phone Number: 208 245-7078

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1548320435

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	13D0522334
LAB Type	Hospital
Facility Name	BENEWAH COMMUNITY HOSPITAL
Street	229 S 7TH ST
City	SAINT MARIES
State	ID
ZIP	83861
Phone	208 245-7078
CertificateType	2
CertificateEffectiveDate	6/7/2023
CertificateExpirationDate	6/6/2025
FacilityType	Compliance

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