13D0885724 CLIA NUMBER - COMMUNICARE INC

Laboratory Demographics

CLIA Code: 13D0885724
Facility Name: COMMUNICARE INC
Facility Address: 40 W FRANKLIN RD, STE F
MERIDIAN, ID
ZIP 83642
Facility Phone: 208 888-1155
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: RONDA STEWART
NPI Number: 1356569362
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	13D0885724
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	COMMUNICARE INC
Street	40 W FRANKLIN RD, STE F
City	MERIDIAN
State	ID
ZIP	83642
Phone	208 888-1155
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/29/2024
Certificate Expiration Date	4/28/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	RONDA STEWART

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