13D2273480 CLIA NUMBER - CDA ACUPUNCTURE & HOLISTIC HEALING

Laboratory Demographics

  • CLIA Code: 13D2273480
  • Facility Name: CDA ACUPUNCTURE & HOLISTIC HEALING
  • Facility Address: 810 E SHERMAN AVE
    COEUR D'ALENE, ID
    ZIP 83814
  • Facility Phone: 208 665-2293
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TOBY K. HALLOWITZ
  • NPI Number: 1063922805
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2273480
LAB Type Community Clinic
Facility Name CDA ACUPUNCTURE & HOLISTIC HEALING
Street 810 E SHERMAN AVE
City COEUR D'ALENE
State ID
ZIP 83814
Phone 208 665-2293
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Community Clinic
Lab Director TOBY K. HALLOWITZ

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