13D2210868 CLIA NUMBER - RATHDRUM DRUG

Laboratory Demographics

  • CLIA Code: 13D2210868
  • Facility Name: RATHDRUM DRUG
  • Facility Address: 16438 N HWY 41
    RATHDRUM, ID
    ZIP 83858
  • Facility Phone: 208 687-0731
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE DUHON PHARMD
  • NPI Number: 1881194090
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2210868
LAB Type Pharmacy
Facility Name RATHDRUM DRUG
Street 16438 N HWY 41
City RATHDRUM
State ID
ZIP 83858
Phone 208 687-0731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Pharmacy
Lab Director MICHELLE DUHON PHARMD

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