13D2299635 CLIA NUMBER - BEAR LAKE FAMILY CARE AND OB/GYN

Laboratory Demographics

  • CLIA Code: 13D2299635
  • Facility Name: BEAR LAKE FAMILY CARE AND OB/GYN
  • Facility Address: 465 WASHINGTON ST
    MONTPELIER, ID
    ZIP 83254
  • Facility Phone: 208 847-4495
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: PETER CRANE
  • NPI Number: 1699057166
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2299635
LAB Type Rural Health Clinic
Facility Name BEAR LAKE FAMILY CARE AND OB/GYN
Street 465 WASHINGTON ST
City MONTPELIER
State ID
ZIP 83254
Phone 208 847-4495
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Rural Health Clinic
Lab Director PETER CRANE

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This page was last updated on: 9/29/2025