13D0646366 CLIA NUMBER - IRONWOOD REHABILITATION AND CARE CENTER

Laboratory Demographics

  • CLIA Code: 13D0646366
  • Facility Name: IRONWOOD REHABILITATION AND CARE CENTER
  • Facility Address: 2200 IRONWOOD PL
    COEUR D'ALENE, ID
    ZIP 83814
  • Facility Phone: 208 667-6486
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL MEZA
  • NPI Number: 1427169614
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 13D0646366
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IRONWOOD REHABILITATION AND CARE CENTER
Street 2200 IRONWOOD PL
City COEUR D'ALENE
State ID
ZIP 83814
Phone 208 667-6486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL MEZA

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