13D0858805 CLIA NUMBER - LIFEWAYS HOSPITAL

Laboratory Demographics

  • CLIA Code: 13D0858805
  • Facility Name: LIFEWAYS HOSPITAL
  • Facility Address: 8050 W NORTHVIEW ST
    BOISE, ID
    ZIP 83704
  • Facility Phone: 208 327-0504
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DAVID FENTON
  • NPI Number: 1437620358
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 13D0858805
LAB Type Hospital
Facility Name LIFEWAYS HOSPITAL
Street 8050 W NORTHVIEW ST
City BOISE
State ID
ZIP 83704
Phone 208 327-0504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Hospital
Lab Director DAVID FENTON

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