13D0699140 CLIA NUMBER - DEVELOPMENTAL OPTIONS

Laboratory Demographics

  • CLIA Code: 13D0699140
  • Facility Name: DEVELOPMENTAL OPTIONS
  • Facility Address: 415 S ARTHUR AVE
    POCATELLO, ID
    ZIP 83204
  • Facility Phone: 208 233-6833
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: SCOTT CHRISTENSEN
  • NPI Number: 1437291044
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 13D0699140
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name DEVELOPMENTAL OPTIONS
Street 415 S ARTHUR AVE
City POCATELLO
State ID
ZIP 83204
Phone 208 233-6833
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 Intermediate Care Facility for Mentally Retarded
Lab Director SCOTT CHRISTENSEN

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