13D0970670 CLIA NUMBER - ASSOCIATES IN FAMILY PRACTICE PA

Laboratory Demographics

CLIA Number: 13D0970670

Facility Name: ASSOCIATES IN FAMILY PRACTICE PA

Facility Address:
640 FROG'S LANDING
HAGERMAN, ID
ZIP 83332
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Facility Phone Number: 208 837-6161

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1881659357

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	13D0970670
LAB Type	Community Clinic
Facility Name	ASSOCIATES IN FAMILY PRACTICE PA
Street	640 FROG'S LANDING
City	HAGERMAN
State	ID
ZIP	83332
Phone	208 837-6161
CertificateType	4
CertificateEffectiveDate	8/8/2022
CertificateExpirationDate	8/7/2024
FacilityType	Waiver

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