13D0934339 CLIA NUMBER - POCATELLO WOMENS HEALTH CLINIC

Laboratory Demographics

CLIA Number: 13D0934339

Facility Name: POCATELLO WOMENS HEALTH CLINIC

Facility Address:
777 HOSPITAL WAY #300
POCATELLO, ID
ZIP 83201
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Facility Phone Number: 208 232-6100

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1477501930

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	13D0934339
LAB Type	Physician Office
Facility Name	POCATELLO WOMENS HEALTH CLINIC
Street	777 HOSPITAL WAY #300
City	POCATELLO
State	ID
ZIP	83201
Phone	208 232-6100
CertificateType	3
CertificateEffectiveDate	10/3/2023
CertificateExpirationDate	10/2/2025
FacilityType	PPMP

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