13D1047840 CLIA NUMBER - ST MARY'S HEALTH - CRAIGMONT CLINIC

Laboratory Demographics

CLIA Number: 13D1047840

Facility Name: ST MARY'S HEALTH - CRAIGMONT CLINIC

Facility Address:
320 N DIVISION ST
CRAIGMONT, ID
ZIP 83523
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Facility Phone Number: 208 962-2460

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1770521817

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	13D1047840
LAB Type	Community Clinic
Facility Name	ST MARY'S HEALTH - CRAIGMONT CLINIC
Street	320 N DIVISION ST
City	CRAIGMONT
State	ID
ZIP	83523
Phone	208 962-2460
CertificateType	3
CertificateEffectiveDate	2/27/2023
CertificateExpirationDate	2/26/2025
FacilityType	PPMP

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