13D2027387 CLIA NUMBER - NEZ PERCE COUNTY JAIL-MEDICAL

Laboratory Demographics

  • CLIA Code: 13D2027387
  • Facility Name: NEZ PERCE COUNTY JAIL-MEDICAL
  • Facility Address: 1150 WALL STREET
    LEWISTON, ID
    ZIP 83501
  • Facility Phone: 208 750-2088
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: SHERRY D. STOUTIN
  • NPI Number: 1255752309
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 13D2027387
LAB Type Prison
Facility Name NEZ PERCE COUNTY JAIL-MEDICAL
Street 1150 WALL STREET
City LEWISTON
State ID
ZIP 83501
Phone 208 750-2088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Prison
Lab Director SHERRY D. STOUTIN

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