13D0520337 CLIA NUMBER - MONTE VISTA HILLS HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 13D0520337
  • Facility Name: MONTE VISTA HILLS HEALTH CARE CENTER
  • Facility Address: 1071 RENEE AVE
    POCATELLO, ID
    ZIP 83201
  • Facility Phone: (208) 233-1411
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL ANDERSON
  • NPI Number: 1215435631
  • Taxonomy: 261QR0401X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D0520337
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MONTE VISTA HILLS HEALTH CARE CENTER
Street 1071 RENEE AVE
City POCATELLO
State ID
ZIP 83201
Phone 2082331411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL ANDERSON

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This page was last updated on: 5/18/2026