13D2084780 CLIA NUMBER - TREASURE VALLEY FAMILY MEDICINE

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Laboratory Demographics

CLIA Number: 13D2084780

Facility Name: TREASURE VALLEY FAMILY MEDICINE

Facility Address:
2428 N STOKESBERRY PL
MERIDIAN, ID
ZIP 83646
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Facility Phone Number: 208 895-0050

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1841603768

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	13D2084780
LAB Type	Physician Office
Facility Name	TREASURE VALLEY FAMILY MEDICINE
Street	2428 N STOKESBERRY PL
City	MERIDIAN
State	ID
ZIP	83646
Phone	208 895-0050
CertificateType	3
CertificateEffectiveDate	9/30/2022
CertificateExpirationDate	9/29/2024
FacilityType	PPMP

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