Healther Providers Data Logo

13D0949934 CLIA NUMBER - COEUR D'ALENE PEDIATRICS OF POST FALLS

Laboratory Demographics

CLIA Number: 13D0949934

Facility Name: COEUR D'ALENE PEDIATRICS OF POST FALLS

Facility Address:
1300 E MULLAN AVE STE 1000
POST FALLS, ID
ZIP 83854
Get Directions

Facility Phone Number: 208 777-1330

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1093796468

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 13D0949934
LAB Type Physician Office
Facility Name COEUR D'ALENE PEDIATRICS OF POST FALLS
Street 1300 E MULLAN AVE STE 1000
City POST FALLS
State ID
ZIP 83854
Phone 208 777-1330
CertificateType 4
CertificateEffectiveDate 7/1/2023
CertificateExpirationDate 6/30/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024