13D2113816 CLIA NUMBER - EMPIRE EYE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 13D2113816
  • Facility Name: EMPIRE EYE PHYSICIANS
  • Facility Address: 2175 N MAIN ST
    COEUR D'ALENE, ID
    ZIP 83814
  • Facility Phone: 208 664-9888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. KONTOS
  • NPI Number: 1023782307
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 13D2113816
LAB Type Physician Office
Facility Name EMPIRE EYE PHYSICIANS
Street 2175 N MAIN ST
City COEUR D'ALENE
State ID
ZIP 83814
Phone 208 664-9888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director MARK A. KONTOS

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