13D0646358 CLIA NUMBER - LIFE CARE CENTER OF BOISE

Laboratory Demographics

  • CLIA Code: 13D0646358
  • Facility Name: LIFE CARE CENTER OF BOISE
  • Facility Address: 808 N CURTIS RD
    BOISE, ID
    ZIP 83706
  • Facility Phone: 208 376-5273
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: REBEKKA A. MASON
  • NPI Number: 1306207279
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D0646358
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF BOISE
Street 808 N CURTIS RD
City BOISE
State ID
ZIP 83706
Phone 208 376-5273
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 REBEKKA A. MASON

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