13D2259150 CLIA NUMBER - NORTH IDAHO DETOX

Laboratory Demographics

  • CLIA Code: 13D2259150
  • Facility Name: NORTH IDAHO DETOX
  • Facility Address: 1654 E VELORA DR
    POST FALLS, ID
    ZIP 83854
  • Facility Phone: 208 918-3835
  • Facility Type: Other - DRUG & ALCOHOL TREATMENT
  • Facility Type: Waiver
  • Lab Director: JACOB SIEGBERG
  • NPI Number: 1073267654
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D2259150
LAB Type Other - DRUG & ALCOHOL TREATMENT
Facility Name NORTH IDAHO DETOX
Street 1654 E VELORA DR
City POST FALLS
State ID
ZIP 83854
Phone 208 918-3835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Other - DRUG & ALCOHOL TREATMENT
Lab Director JACOB SIEGBERG

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