13D2310878 CLIA NUMBER - NURSE NEXT DOOR COEUR D'ALENE

Laboratory Demographics

  • CLIA Code: 13D2310878
  • Facility Name: NURSE NEXT DOOR COEUR D'ALENE
  • Facility Address: 418 E LAKESIDE AVE STE 6-1
    COEUR D'ALENE, ID
    ZIP 83814
  • Facility Phone: 208 600-0760
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DOUGLAS D. HOLCOMB
  • NPI Number: 1801587688
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 13D2310878
LAB Type Home Health Agency
Facility Name NURSE NEXT DOOR COEUR D'ALENE
Street 418 E LAKESIDE AVE STE 6-1
City COEUR D'ALENE
State ID
ZIP 83814
Phone 208 600-0760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Home Health Agency
Lab Director DOUGLAS D. HOLCOMB

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