13D2141085 CLIA NUMBER - NNU HEALTH INC DBA UNIVERSITY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 13D2141085

Facility Name: NNU HEALTH INC DBA UNIVERSITY MEDICAL CLINIC

Facility Address:
823 E AMITY AVE
NAMPA, ID
ZIP 83686
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Facility Phone Number: 208 467-8466

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1154928653

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	13D2141085
LAB Type	Practitioner Other
Facility Name	NNU HEALTH INC DBA UNIVERSITY MEDICAL CLINIC
Street	823 E AMITY AVE
City	NAMPA
State	ID
ZIP	83686
Phone	208 467-8466
CertificateType	4
CertificateEffectiveDate	12/7/2023
CertificateExpirationDate	12/6/2025
FacilityType	Waiver

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