13D2080357 CLIA NUMBER - POST FALLS OPTOMETRIC PHYSICIANS

Laboratory Demographics

  • CLIA Code: 13D2080357
  • Facility Name: POST FALLS OPTOMETRIC PHYSICIANS
  • Facility Address: 185 W 4TH AVE #A
    POST FALLS, ID
    ZIP 83854
  • Facility Phone: 208 773-7434
  • Facility Type: Other - OPTOMETRIST
  • Facility Type: Waiver
  • Lab Director: JESSE JANGULA
  • NPI Number: 1851476493
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 13D2080357
LAB Type Other - OPTOMETRIST
Facility Name POST FALLS OPTOMETRIC PHYSICIANS
Street 185 W 4TH AVE #A
City POST FALLS
State ID
ZIP 83854
Phone 208 773-7434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Other - OPTOMETRIST
Lab Director JESSE JANGULA

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