13D2145249 CLIA NUMBER - BOISE KIDNEY & HYPERTENSION PLLC

Laboratory Demographics

CLIA Number: 13D2145249

Facility Name: BOISE KIDNEY & HYPERTENSION PLLC

Facility Address:
1070 N CURTIS RD STE 130
BOISE, ID
ZIP 83706
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Facility Phone Number: 208 615-4395

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1902963101

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	13D2145249
LAB Type	Physician Office
Facility Name	BOISE KIDNEY & HYPERTENSION PLLC
Street	1070 N CURTIS RD STE 130
City	BOISE
State	ID
ZIP	83706
Phone	208 615-4395
CertificateType	3
CertificateEffectiveDate	3/5/2024
CertificateExpirationDate	3/4/2026
FacilityType	PPMP

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