13D0870961 CLIA NUMBER - HAYDEN LAKE FAMILY PHYSICIANS

Laboratory Demographics

CLIA Number: 13D0870961

Facility Name: HAYDEN LAKE FAMILY PHYSICIANS

Facility Address:
8181 N CORNERSTONE DR
HAYDEN LAKE, ID
ZIP 83835
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Facility Phone Number: 208 772-0785

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1639152739

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	13D0870961
LAB Type	Physician Office
Facility Name	HAYDEN LAKE FAMILY PHYSICIANS
Street	8181 N CORNERSTONE DR
City	HAYDEN LAKE
State	ID
ZIP	83835
Phone	208 772-0785
CertificateType	2
CertificateEffectiveDate	6/13/2022
CertificateExpirationDate	6/12/2024
FacilityType	Compliance

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