SANDPOINT SUPER DRUG CLINICAL SERVICES
NPI 1104584739
Family Medicine in Sandpoint, ID
About Sandpoint Super Drug Clinical Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDPOINT SUPER DRUG CLINICAL SERVICES (NPI 1104584739) is a healthcare organization registered as a family medicine in Sandpoint, Idaho and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Scott Porter, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 13D0962741
Sandpoint Super Drug · Sandpoint, IDOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandpoint Super Drug Clinical's NPI number?
The NPI number for Sandpoint Super Drug Clinical is 1104584739. It was assigned to this organization in the NPPES registry on December 1, 2021. The provider is also known as Sandpoint Super Drug Clinical Services.
Where is Sandpoint Super Drug Clinical located?
Sandpoint Super Drug Clinical is located at 604 N Fifth Ave, Sandpoint, ID 83864. The listed phone number is (208) 263-1408.
What is Sandpoint Super Drug Clinical's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Sandpoint Super Drug Clinical hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D0962741) is associated with this NPI, valid through July 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sandpoint Super Drug Clinical was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sandpoint Super Drug Clinical Services · NPI 1104584739
Family Medicine organization in Sandpoint, Idaho. Organization record, active in the CMS NPPES registry since December 1, 2021.
## Identity
- **NPI:** 1104584739 (Entity type: Organization)
- **Enumerated:** December 1, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Sandpoint Super Drug Clinical
- **Organization subpart:** No
- **Authorized official:** Scott Porter, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 604 N FIFTH AVE, Sandpoint, ID 83864-1520
- **Phone:** (208) 263-1408
## Record status
- **NPPES last updated:** March 24, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104584739) · Data from the CMS NPPES public registry.