13D2155616 CLIA NUMBER - STORY FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 13D2155616

Facility Name: STORY FAMILY MEDICINE

Facility Address:
1150 ALTURAS DR STE 101
MOSCOW, ID
ZIP 83843
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Facility Phone Number: 208 310-7773

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750998126

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	13D2155616
LAB Type	Physician Office
Facility Name	STORY FAMILY MEDICINE
Street	1150 ALTURAS DR STE 101
City	MOSCOW
State	ID
ZIP	83843
Phone	208 310-7773
CertificateType	4
CertificateEffectiveDate	10/2/2022
CertificateExpirationDate	10/1/2024
FacilityType	Waiver

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