13D2029863 CLIA NUMBER - ST LUKE'S CLINIC - FAMILY MEDICINE GREENHURST

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Laboratory Demographics

CLIA Number: 13D2029863

Facility Name: ST LUKE'S CLINIC - FAMILY MEDICINE GREENHURST

Facility Address:
3165 E GREENHURST RD
NAMPA, ID
ZIP 83686
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Facility Phone Number: (208) 463-7330

Facility Type: COMMUNITY CLINIC

Certificate Type: Microscopy

NPI Number: 1306137633

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	13D2029863
LAB Type	COMMUNITY CLINIC
Facility Name	ST LUKE'S CLINIC - FAMILY MEDICINE GREENHURST
Street	3165 E GREENHURST RD
City	NAMPA
State	ID
ZIP	83686
Phone	(208) 463-7330

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This page was last updated on: 5/11/2023