13D2296980 CLIA NUMBER - LAKESHORE HEALTH

Laboratory Demographics

  • CLIA Code: 13D2296980
  • Facility Name: LAKESHORE HEALTH
  • Facility Address: 409 CHURCH ST
    SANDPOINT, ID
    ZIP 83864
  • Facility Phone: 208 906-2525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANIA S. BROWN
  • NPI Number: 1487380655
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 13D2296980
LAB Type Physician Office
Facility Name LAKESHORE HEALTH
Street 409 CHURCH ST
City SANDPOINT
State ID
ZIP 83864
Phone 208 906-2525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Physician Office
Lab Director SHANIA S. BROWN

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