13D2164045 CLIA NUMBER - CLEARWATER COUNTY

Laboratory Demographics

  • CLIA Code: 13D2164045
  • Facility Name: CLEARWATER COUNTY
  • Facility Address: 1195 RIVERSIDE AVE
    OROFINO, ID
    ZIP 83544
  • Facility Phone: 208 476-3771
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DARBY J. ZICK EMT-P CACO
  • NPI Number: 1730281064
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 13D2164045
LAB Type Ambulance
Facility Name CLEARWATER COUNTY
Street 1195 RIVERSIDE AVE
City OROFINO
State ID
ZIP 83544
Phone 208 476-3771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Ambulance
Lab Director DARBY J. ZICK EMT-P CACO

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