13D0888272 CLIA NUMBER - NORTH IDAHO HOME HEALTH

Laboratory Demographics

  • CLIA Code: 13D0888272
  • Facility Name: NORTH IDAHO HOME HEALTH
  • Facility Address: 850 W KATHLEEN AVE
    COEUR D ALENE, ID
    ZIP 83815
  • Facility Phone: 208 667-7494
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LESLEE PALMER
  • NPI Number: 1053620799
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 13D0888272
LAB Type Home Health Agency
Facility Name NORTH IDAHO HOME HEALTH
Street 850 W KATHLEEN AVE
City COEUR D ALENE
State ID
ZIP 83815
Phone 208 667-7494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Home Health Agency
Lab Director LESLEE PALMER

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