13D1092943 CLIA NUMBER - CALDWELL DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 13D1092943
  • Facility Name: CALDWELL DIALYSIS CENTER
  • Facility Address: 4716 BEACON LN
    CALDWELL, ID
    ZIP 83605
  • Facility Phone: 208 454-8260
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS PINTAR
  • NPI Number: 1619129020
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D1092943
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CALDWELL DIALYSIS CENTER
Street 4716 BEACON LN
City CALDWELL
State ID
ZIP 83605
Phone 208 454-8260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director THOMAS PINTAR

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