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Cory A Gall, PHD
Clinical Laboratory Director (Non-physician) in Lewiston, Idaho
NPI 1821614512

Cory A Gall is a Clinical Laboratory Director (Non-physician) based in Lewiston, ID and is specialized in Clinical Laboratory Director, Non-physician. Cory A Gall practices in Lewiston, ID and has the professional credentials of PHD. The NPI Number for Cory A Gall is 1821614512 and holds a License No. (Idaho).

The current practice location address for Cory A Gall is 2315 8Th St, Lewiston, ID and can be reached out via phone at 208-746-1383 and via fax at 208-746-1383.

Location: 2315 8Th St, Lewiston, ID, 83501-7301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821614512
Provider Name
Cory A Gall
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2315 8Th St, Lewiston, ID, 83501-7301
Phone Number
208-746-1383
Fax Number
208-746-1383
Provider Enumeration Date
06/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2315 8Th St
City
Lewiston
State
Idaho
Zip
83501-7301
Phone Number
208-746-1383
Fax Number
208-746-1383
person
Provider Business Mailing Address Details
Address
2315 8Th St
City
Lewiston
State
Idaho
Zip
83501-7301
Phone Number
208-746-1383
Fax Number
208-746-1383
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
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Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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