13D2276345 CLIA NUMBER - NORTHWEST DIGESTIVE CENTER

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CLIA Record

Field Name Field Value
CLIA Number 13D2276345
LAB Type Hospital
Facility Name NORTHWEST DIGESTIVE CENTER
Street 750 N SYRINGA ST STE 205
City POST FALLS
State ID
ZIP 83854
Phone 208 262-0945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Hospital
Lab Director JOHN C. STACKOW

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