13D2000453 CLIA NUMBER - MAPLE GROVE EYE CARE

Laboratory Demographics

  • CLIA Code: 13D2000453
  • Facility Name: MAPLE GROVE EYE CARE
  • Facility Address: 8955 W HACKAMORE DR
    BOISE, ID
    ZIP 83709
  • Facility Phone: 208 344-7944
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW D. NEALE
  • NPI Number: 1326550096
  • Taxonomy: 207W00000X - Ophthalmology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2000453
LAB Type Physician Office
Facility Name MAPLE GROVE EYE CARE
Street 8955 W HACKAMORE DR
City BOISE
State ID
ZIP 83709
Phone 208 344-7944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director MATTHEW D. NEALE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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