13D0998799 CLIA NUMBER - BOUNDARY COMMUNITY CLINICS

Laboratory Demographics

  • CLIA Code: 13D0998799
  • Facility Name: BOUNDARY COMMUNITY CLINICS
  • Facility Address: 6641 KANIKSU ST #A
    BONNERS FERRY, ID
    ZIP 83805
  • Facility Phone: 208 267-3655
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRANT M. HEALD
  • NPI Number: 1801273552
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D0998799
LAB Type Physician Office
Facility Name BOUNDARY COMMUNITY CLINICS
Street 6641 KANIKSU ST #A
City BONNERS FERRY
State ID
ZIP 83805
Phone 208 267-3655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director GRANT M. HEALD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025