13D0646309 CLIA NUMBER - PATHOLOGISTS REGIONAL LABORATORY

Laboratory Demographics

  • CLIA Code: 13D0646309
  • Facility Name: PATHOLOGISTS REGIONAL LABORATORY
  • Facility Address: 415 6TH ST
    LEWISTON, ID
    ZIP 83501
  • Facility Phone: 208 746-0516
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: ALAN C. PETERSON
  • NPI Number: 1407893993
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 13D0646309
LAB Type Hospital
Facility Name PATHOLOGISTS REGIONAL LABORATORY
Street 415 6TH ST
City LEWISTON
State ID
ZIP 83501
Phone 208 746-0516
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director ALAN C. PETERSON

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