13D0521402 CLIA NUMBER - SUNNY RIDGE

Laboratory Demographics

  • CLIA Code: 13D0521402
  • Facility Name: SUNNY RIDGE
  • Facility Address: 2609 SUNNYBROOK DR
    NAMPA, ID
    ZIP 83686
  • Facility Phone: 208 467-7298
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE GAONA
  • NPI Number: 1790732337
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D0521402
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUNNY RIDGE
Street 2609 SUNNYBROOK DR
City NAMPA
State ID
ZIP 83686
Phone 208 467-7298
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 MICHELLE GAONA

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