13D0522394 CLIA NUMBER - SANDPOINT WOMENS HEALTH

Laboratory Demographics

CLIA Number: 13D0522394

Facility Name: SANDPOINT WOMENS HEALTH

Facility Address:
423 N THIRD AVE STE 210
SANDPOINT, ID
ZIP 83864
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Facility Phone Number: 208 263-2173

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1992069454

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	13D0522394
LAB Type	Community Clinic
Facility Name	SANDPOINT WOMENS HEALTH
Street	423 N THIRD AVE STE 210
City	SANDPOINT
State	ID
ZIP	83864
Phone	208 263-2173
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