13D2057311 CLIA NUMBER - NORTHWEST SPECIALTY HOSPITAL

Laboratory Demographics

  • CLIA Code: 13D2057311
  • Facility Name: NORTHWEST SPECIALTY HOSPITAL
  • Facility Address: 15622 N HIGHWAY 41
    RATHDRUM, ID
    ZIP 83858
  • Facility Phone: (208) 687-4878
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: KELCEY L. TERRELL

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CLIA Record

Field Name Field Value
CLIA Number 13D2057311
LAB Type Other - URGENT CARE
Facility Name NORTHWEST SPECIALTY HOSPITAL
Street 15622 N HIGHWAY 41
City RATHDRUM
State ID
ZIP 83858
Phone 2086874878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Other - URGENT CARE
Lab Director KELCEY L. TERRELL

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This page was last updated on: 6/29/2026