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13D2109226 CLIA NUMBER - PRIMARY HEALTH MEDICAL GROUP - CHINDEN & LINDER

Laboratory Demographics

CLIA Number: 13D2109226

Facility Name: PRIMARY HEALTH MEDICAL GROUP - CHINDEN & LINDER

Facility Address:
1900 W CHINDEN BLVD
MERIDIAN, ID
ZIP 83646
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Facility Phone Number: 208 809-2860

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1386003770

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 13D2109226
LAB Type Physician Office
Facility Name PRIMARY HEALTH MEDICAL GROUP - CHINDEN & LINDER
Street 1900 W CHINDEN BLVD
City MERIDIAN
State ID
ZIP 83646
Phone 208 809-2860
CertificateType 3
CertificateEffectiveDate 2/22/2024
CertificateExpirationDate 2/21/2026
FacilityType PPMP

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