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13D1042785 CLIA NUMBER - POST FALLS DIALYSIS

Laboratory Demographics

CLIA Number: 13D1042785

Facility Name: POST FALLS DIALYSIS

Facility Address:
1300 E MULLAN AVE #1200
POST FALLS, ID
ZIP 83854
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Facility Phone Number: 208 777-6054

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1053387985

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 13D1042785
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name POST FALLS DIALYSIS
Street 1300 E MULLAN AVE #1200
City POST FALLS
State ID
ZIP 83854
Phone 208 777-6054
CertificateType 4
CertificateEffectiveDate 7/8/2023
CertificateExpirationDate 7/7/2025
FacilityType Waiver

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