13D0725835 CLIA NUMBER - MCCALL REHABILITATION & CARE CENTER

Laboratory Demographics

  • CLIA Code: 13D0725835
  • Facility Name: MCCALL REHABILITATION & CARE CENTER
  • Facility Address: 418 FLOYDE STREET
    MCCALL, ID
    ZIP 83638
  • Facility Phone: 208 634-2112
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER LEWIS
  • NPI Number: 1609367697
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D0725835
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MCCALL REHABILITATION & CARE CENTER
Street 418 FLOYDE STREET
City MCCALL
State ID
ZIP 83638
Phone 208 634-2112
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 JENNIFER LEWIS

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