13D0703581 CLIA NUMBER - MINI CASSIA CARE CENTER

Laboratory Demographics

  • CLIA Code: 13D0703581
  • Facility Name: MINI CASSIA CARE CENTER
  • Facility Address: 1729 MILLER AVE
    BURLEY, ID
    ZIP 83318
  • Facility Phone: 208 678-9474
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN GIES
  • NPI Number: 1285882431
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D0703581
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MINI CASSIA CARE CENTER
Street 1729 MILLER AVE
City BURLEY
State ID
ZIP 83318
Phone 208 678-9474
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 JOHN GIES

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