13D2050268 CLIA NUMBER - FRANKLIN COUNTY MEDICAL CLINIC

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Laboratory Demographics

CLIA Number: 13D2050268

Facility Name: FRANKLIN COUNTY MEDICAL CLINIC

Facility Address:
64 N 1ST E STE 100
PRESTON, ID
ZIP 83263
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Facility Phone Number: 208 852-2900

Facility Type: Rural Health Clinic

Certificate Type: Microscopy

NPI Number: 1548355811

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	13D2050268
LAB Type	Rural Health Clinic
Facility Name	FRANKLIN COUNTY MEDICAL CLINIC
Street	64 N 1ST E STE 100
City	PRESTON
State	ID
ZIP	83263
Phone	208 852-2900
CertificateType	3
CertificateEffectiveDate	11/26/2022
CertificateExpirationDate	11/25/2024
FacilityType	PPMP

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