13D1056908 CLIA NUMBER - KEYSTONE CENTER FOR GERIATRICS

Laboratory Demographics

  • CLIA Code: 13D1056908
  • Facility Name: KEYSTONE CENTER FOR GERIATRICS
  • Facility Address: 1139 E WINDING CREEK DRIVE
    EAGLE, ID
    ZIP 83616
  • Facility Phone: (208) 963-1034
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MEGAN DUNAY

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CLIA Record

Field Name Field Value
CLIA Number 13D1056908
LAB Type Community Clinic
Facility Name KEYSTONE CENTER FOR GERIATRICS
Street 1139 E WINDING CREEK DRIVE
City EAGLE
State ID
ZIP 83616
Phone 2089631034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Community Clinic
Lab Director MEGAN DUNAY

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This page was last updated on: 5/18/2026