13D1060655 CLIA NUMBER - FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 13D1060655

Facility Name: FAMILY HEALTH CENTER

Facility Address:
606 N 3RD AVE #101
SANDPOINT, ID
ZIP 83864
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Facility Phone Number: 208 263-1435

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1609935295

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	13D1060655
LAB Type	Physician Office
Facility Name	FAMILY HEALTH CENTER
Street	606 N 3RD AVE #101
City	SANDPOINT
State	ID
ZIP	83864
Phone	208 263-1435
CertificateType	3
CertificateEffectiveDate	10/30/2022
CertificateExpirationDate	10/29/2024
FacilityType	PPMP

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