13D2087556 CLIA NUMBER - COMPLETE FAMILY CARE

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Laboratory Demographics

CLIA Number: 13D2087556

Facility Name: COMPLETE FAMILY CARE

Facility Address:
10 MADISON PROFESSIONAL PARK
REXBURG, ID
ZIP 83440
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Facility Phone Number: 208 656-9467

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649693649

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	13D2087556
LAB Type	Physician Office
Facility Name	COMPLETE FAMILY CARE
Street	10 MADISON PROFESSIONAL PARK
City	REXBURG
State	ID
ZIP	83440
Phone	208 656-9467
CertificateType	4
CertificateEffectiveDate	11/28/2022
CertificateExpirationDate	11/27/2024
FacilityType	Waiver

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