13D1076417 CLIA NUMBER - MOUNTAIN VIEW REDICARE

Laboratory Demographics

  • CLIA Code: 13D1076417
  • Facility Name: MOUNTAIN VIEW REDICARE
  • Facility Address: 2730 CHANNING WAY
    IDAHO FALLS, ID
    ZIP 83404
  • Facility Phone: 208 542-7100
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TROY BRUMFIELD
  • NPI Number: 1730423492
  • Taxonomy: 332BC3200X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 13D1076417
LAB Type Physician Office
Facility Name MOUNTAIN VIEW REDICARE
Street 2730 CHANNING WAY
City IDAHO FALLS
State ID
ZIP 83404
Phone 208 542-7100
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 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director TROY BRUMFIELD

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