13D2104558 CLIA NUMBER - HERITAGE HEALTH POST FALLS

Laboratory Demographics

  • CLIA Code: 13D2104558
  • Facility Name: HERITAGE HEALTH POST FALLS
  • Facility Address: 925 E POLSTON
    POST FALLS, ID
    ZIP 83854
  • Facility Phone: 208 625-5640
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ANTHONY REHIL-CREST
  • NPI Number: 1841696952
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2104558
LAB Type Federally Qualified Health Center
Facility Name HERITAGE HEALTH POST FALLS
Street 925 E POLSTON
City POST FALLS
State ID
ZIP 83854
Phone 208 625-5640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Federally Qualified Health Center
Lab Director ANTHONY REHIL-CREST

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