13D0962844 CLIA NUMBER - COMMUNITY CARE REXBURG

Laboratory Demographics

  • CLIA Code: 13D0962844
  • Facility Name: COMMUNITY CARE REXBURG
  • Facility Address: 404 N 2ND ST E
    REXBURG, ID
    ZIP 83440
  • Facility Phone: 208 359-1770
  • Facility Type: Rural Health Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID F. DANIELS
  • NPI Number: 1164723334
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 13D0962844
LAB Type Rural Health Clinic
Facility Name COMMUNITY CARE REXBURG
Street 404 N 2ND ST E
City REXBURG
State ID
ZIP 83440
Phone 208 359-1770
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Rural Health Clinic
Lab Director DAVID F. DANIELS

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