13D2130713 CLIA NUMBER - PEAK RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 13D2130713
  • Facility Name: PEAK RECOVERY LLC
  • Facility Address: 2922 E CLEVELAND BLVD ST 500
    CALDWELL, ID
    ZIP 83605
  • Facility Phone: 208 455-1788
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MICHONNE L. PIEKSMA
  • NPI Number: 1811338148
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 13D2130713
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PEAK RECOVERY LLC
Street 2922 E CLEVELAND BLVD ST 500
City CALDWELL
State ID
ZIP 83605
Phone 208 455-1788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MICHONNE L. PIEKSMA

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