13D0521269 CLIA NUMBER - RIVER'S EDGE REHABILITATION & LIVING CENTER

Laboratory Demographics

  • CLIA Code: 13D0521269
  • Facility Name: RIVER'S EDGE REHABILITATION & LIVING CENTER
  • Facility Address: 714 N BUTTE AVE
    EMMETT, ID
    ZIP 83617
  • Facility Phone: 208 365-4425
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM VETTER
  • NPI Number: 1275862211
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D0521269
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVER'S EDGE REHABILITATION & LIVING CENTER
Street 714 N BUTTE AVE
City EMMETT
State ID
ZIP 83617
Phone 208 365-4425
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 WILLIAM VETTER

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