13D2003189 CLIA NUMBER - NORTH IDAHO ALLIANCE OF CARE (NIAC)

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Laboratory Demographics

CLIA Number: 13D2003189

Facility Name: NORTH IDAHO ALLIANCE OF CARE (NIAC)

Facility Address:
2201 GOVERNMENT WAY STE E
COEUR D'ALENE, ID
ZIP 83814
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Facility Phone Number: 208 665-1448

Facility Type: Other - AIDS COALITION

Certificate Type: Waiver

NPI Number: 1992179253

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	13D2003189
LAB Type	Other - AIDS COALITION
Facility Name	NORTH IDAHO ALLIANCE OF CARE (NIAC)
Street	2201 GOVERNMENT WAY STE E
City	COEUR D'ALENE
State	ID
ZIP	83814
Phone	208 665-1448
CertificateType	4
CertificateEffectiveDate	2/3/2024
CertificateExpirationDate	2/2/2026
FacilityType	Waiver

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