13D2133825 CLIA NUMBER - ALPINE FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 13D2133825

Facility Name: ALPINE FAMILY MEDICINE

Facility Address:
1555 ONTARIO ST
SANDPOINT, ID
ZIP 83864
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Facility Phone Number: 208 597-7910

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1194253336

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	13D2133825
LAB Type	Physician Office
Facility Name	ALPINE FAMILY MEDICINE
Street	1555 ONTARIO ST
City	SANDPOINT
State	ID
ZIP	83864
Phone	208 597-7910
CertificateType	3
CertificateEffectiveDate	7/20/2023
CertificateExpirationDate	7/19/2025
FacilityType	PPMP

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