13D2123446 CLIA NUMBER - SUMMIT FAMILY HEALTH

Laboratory Demographics

CLIA Number: 13D2123446

Facility Name: SUMMIT FAMILY HEALTH

Facility Address:
1828 MILLENIUM WAY #300
MERIDIAN, ID
ZIP 83642
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Facility Phone Number: 208 949-8642

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1285181404

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	13D2123446
LAB Type	Physician Office
Facility Name	SUMMIT FAMILY HEALTH
Street	1828 MILLENIUM WAY #300
City	MERIDIAN
State	ID
ZIP	83642
Phone	208 949-8642
CertificateType	3
CertificateEffectiveDate	12/20/2022
CertificateExpirationDate	12/19/2024
FacilityType	PPMP

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