13D1064990 CLIA NUMBER - INITIAL POINT FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 13D1064990

Facility Name: INITIAL POINT FAMILY MEDICINE

Facility Address:
2640 S EAGLE ROAD
MERIDIAN, ID
ZIP 83642
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Facility Phone Number: 208 884-0835

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629117767

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	13D1064990
LAB Type	Physician Office
Facility Name	INITIAL POINT FAMILY MEDICINE
Street	2640 S EAGLE ROAD
City	MERIDIAN
State	ID
ZIP	83642
Phone	208 884-0835
CertificateType	4
CertificateEffectiveDate	2/20/2023
CertificateExpirationDate	2/19/2025
FacilityType	Waiver

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