13D0946891 CLIA NUMBER - ST LUKE'S FAMILY HEALTH - EAST BOISE

Laboratory Demographics

CLIA Number: 13D0946891

Facility Name: ST LUKE'S FAMILY HEALTH - EAST BOISE

Facility Address:
2083 HOSPITALITY LN
BOISE, ID
ZIP 83716
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Facility Phone Number: 208 333-8345

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1306149919

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	13D0946891
LAB Type	Physician Office
Facility Name	ST LUKE'S FAMILY HEALTH - EAST BOISE
Street	2083 HOSPITALITY LN
City	BOISE
State	ID
ZIP	83716
Phone	208 333-8345
CertificateType	3
CertificateEffectiveDate	3/20/2024
CertificateExpirationDate	3/19/2026
FacilityType	PPMP

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