13D0676383 CLIA NUMBER - CASCADES AT DESERT VIEW

Laboratory Demographics

  • CLIA Code: 13D0676383
  • Facility Name: CASCADES AT DESERT VIEW
  • Facility Address: 820 SPRAGUE AVE
    BUHL, ID
    ZIP 83316
  • Facility Phone: 208 543-6401
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATRINA MAHAN
  • NPI Number: 1306094610
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D0676383
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CASCADES AT DESERT VIEW
Street 820 SPRAGUE AVE
City BUHL
State ID
ZIP 83316
Phone 208 543-6401
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 KATRINA MAHAN

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