13D0522394 CLIA NUMBER - SANDPOINT WOMENS HEALTH

Laboratory Demographics

  • CLIA Code: 13D0522394
  • Facility Name: SANDPOINT WOMENS HEALTH
  • Facility Address: 423 N THIRD AVE STE 210
    SANDPOINT, ID
    ZIP 83864
  • Facility Phone: 208 263-2173
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STACEY F. GOOD
  • NPI Number: 1992069454
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 13D0522394
LAB Type Physician Office
Facility Name SANDPOINT WOMENS HEALTH
Street 423 N THIRD AVE STE 210
City SANDPOINT
State ID
ZIP 83864
Phone 208 263-2173
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director STACEY F. GOOD

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This page was last updated on: 9/29/2025