13D1004238 CLIA NUMBER - MOUNTAIN VIEW HOSPITAL

Laboratory Demographics

  • CLIA Code: 13D1004238
  • Facility Name: MOUNTAIN VIEW HOSPITAL
  • Facility Address: 2325 CORONADO ST ATTN LABORATORY
    IDAHO FALLS, ID
    ZIP 83404
  • Facility Phone: 208 557-2576
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: MATT TANNENBAUM
  • NPI Number: 1235682121
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D1004238
LAB Type Hospital
Facility Name MOUNTAIN VIEW HOSPITAL
Street 2325 CORONADO ST ATTN LABORATORY
City IDAHO FALLS
State ID
ZIP 83404
Phone 208 557-2576
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Hospital
Lab Director MATT TANNENBAUM

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