13D1065097 CLIA NUMBER - CALDWELL CBOC

Laboratory Demographics

  • CLIA Code: 13D1065097
  • Facility Name: CALDWELL CBOC
  • Facility Address: 713 HAYSTACK WAY
    CALDWELL, ID
    ZIP 83605
  • Facility Phone: 208 422-1140
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: RONALD SLAUGHTER
  • NPI Number: 1104083724
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 13D1065097
LAB Type Community Clinic
Facility Name CALDWELL CBOC
Street 713 HAYSTACK WAY
City CALDWELL
State ID
ZIP 83605
Phone 208 422-1140
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 2/22/2007
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director RONALD SLAUGHTER

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