13D2185601 CLIA NUMBER - CHRISTOPHER KOLOBOW NP-C LLC

Laboratory Demographics

  • CLIA Code: 13D2185601
  • Facility Name: CHRISTOPHER KOLOBOW NP-C LLC
  • Facility Address: 6737 B CODY ST
    BONNERS FERRY, ID
    ZIP 83805
  • Facility Phone: 208 267-2225
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER M. KOLOBOW NP-C
  • NPI Number: 1992325815
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 13D2185601
LAB Type Practitioner Other
Facility Name CHRISTOPHER KOLOBOW NP-C LLC
Street 6737 B CODY ST
City BONNERS FERRY
State ID
ZIP 83805
Phone 208 267-2225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Practitioner Other
Lab Director CHRISTOPHER M. KOLOBOW NP-C

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