13D2243680 CLIA NUMBER - TAMARACK WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 13D2243680
  • Facility Name: TAMARACK WELLNESS LLC
  • Facility Address: 31 E DAVIS
    SANTA, ID
    ZIP 83866
  • Facility Phone: 208 245-6997
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMIE SCHEINOST
  • NPI Number: 1124618079
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2243680
LAB Type Physician Office
Facility Name TAMARACK WELLNESS LLC
Street 31 E DAVIS
City SANTA
State ID
ZIP 83866
Phone 208 245-6997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director AMIE SCHEINOST

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