13D0934334 CLIA NUMBER - LIFE CARE CENTER OF LEWISTON

Laboratory Demographics

  • CLIA Code: 13D0934334
  • Facility Name: LIFE CARE CENTER OF LEWISTON
  • Facility Address: 325 WARNER DRIVE
    LEWISTON, ID
    ZIP 83501
  • Facility Phone: 208 798-8500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN RUDOLPH
  • NPI Number: 1235182155
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D0934334
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF LEWISTON
Street 325 WARNER DRIVE
City LEWISTON
State ID
ZIP 83501
Phone 208 798-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOHN RUDOLPH

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