13D0520770 CLIA NUMBER - CASCADES AT LINCOLN COUNTY

Laboratory Demographics

  • CLIA Code: 13D0520770
  • Facility Name: CASCADES AT LINCOLN COUNTY
  • Facility Address: 511 E 4TH ST
    SHOSHONE, ID
    ZIP 83352
  • Facility Phone: 208 886-2228
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: F JOHN GIES
  • NPI Number: 1518115773
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D0520770
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CASCADES AT LINCOLN COUNTY
Street 511 E 4TH ST
City SHOSHONE
State ID
ZIP 83352
Phone 208 886-2228
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 F JOHN GIES

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