13D0705352 CLIA NUMBER - SEASONS MEDICAL

Laboratory Demographics

CLIA Number: 13D0705352

Facility Name: SEASONS MEDICAL

Facility Address:
37 SOUTH 2ND EAST
REXBURG, ID
ZIP 83440
Get Directions

Facility Phone Number: 208 359-6442

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1174699722

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	13D0705352
LAB Type	Physician Office
Facility Name	SEASONS MEDICAL
Street	37 SOUTH 2ND EAST
City	REXBURG
State	ID
ZIP	83440
Phone	208 359-6442
CertificateType	2
CertificateEffectiveDate	11/11/2023
CertificateExpirationDate	11/10/2025
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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