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13D0522378 CLIA NUMBER - BONNER GENERAL INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 13D0522378

Facility Name: BONNER GENERAL INTERNAL MEDICINE

Facility Address:
423 N THIRD AVE STE 110
SANDPOINT, ID
ZIP 83864
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Facility Phone Number: 208 263-6876

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1154361988

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 13D0522378
LAB Type Physician Office
Facility Name BONNER GENERAL INTERNAL MEDICINE
Street 423 N THIRD AVE STE 110
City SANDPOINT
State ID
ZIP 83864
Phone 208 263-6876
CertificateType 4
CertificateEffectiveDate 1/2/2024
CertificateExpirationDate 1/1/2026
FacilityType Waiver

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