13D2243132 CLIA NUMBER - OPTIMAL CHIROPRACTIC PC

Laboratory Demographics

  • CLIA Code: 13D2243132
  • Facility Name: OPTIMAL CHIROPRACTIC PC
  • Facility Address: 609 N CALGARY CT STE 1
    POST FALLS, ID
    ZIP 83854
  • Facility Phone: 208 777-4305
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: EMILY R. WENTWORTH
  • NPI Number: 1982092466
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 13D2243132
LAB Type Practitioner Other
Facility Name OPTIMAL CHIROPRACTIC PC
Street 609 N CALGARY CT STE 1
City POST FALLS
State ID
ZIP 83854
Phone 208 777-4305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Practitioner Other
Lab Director EMILY R. WENTWORTH

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