13D2143296 CLIA NUMBER - THRIVE TREATMENT CENTER PLLC

Laboratory Demographics

  • CLIA Code: 13D2143296
  • Facility Name: THRIVE TREATMENT CENTER PLLC
  • Facility Address: 841 N BOULDER CT UNIT B
    POST FALLS, ID
    ZIP 83854
  • Facility Phone: 208 916-5938
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PETER C. BROWN
  • NPI Number: 1891292991
  • Taxonomy: 363L00000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2143296
LAB Type Practitioner Other
Facility Name THRIVE TREATMENT CENTER PLLC
Street 841 N BOULDER CT UNIT B
City POST FALLS
State ID
ZIP 83854
Phone 208 916-5938
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Practitioner Other
Lab Director PETER C. BROWN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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