13D0520657 CLIA NUMBER - INTERMOUNTAIN HEALTH CASSIA REGIONAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 13D0520657
  • Facility Name: INTERMOUNTAIN HEALTH CASSIA REGIONAL HOSPITAL
  • Facility Address: 1501 HILAND AVE
    BURLEY, ID
    ZIP 83318
  • Facility Phone: 208 677-6490
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MARK A. BENEDICT
  • NPI Number: 1497865315
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 13D0520657
LAB Type Hospital
Facility Name INTERMOUNTAIN HEALTH CASSIA REGIONAL HOSPITAL
Street 1501 HILAND AVE
City BURLEY
State ID
ZIP 83318
Phone 208 677-6490
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. MARK A. BENEDICT

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This page was last updated on: 6/4/2025