13D0520974 CLIA NUMBER - ASHTON LIVING CENTER

Laboratory Demographics

  • CLIA Code: 13D0520974
  • Facility Name: ASHTON LIVING CENTER
  • Facility Address: 700 N 2ND ST
    ASHTON, ID
    ZIP 83420
  • Facility Phone: 208 652-7461
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL PACKER
  • NPI Number: 1497756803
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D0520974
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ASHTON LIVING CENTER
Street 700 N 2ND ST
City ASHTON
State ID
ZIP 83420
Phone 208 652-7461
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 PACKER

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