13D2013844 CLIA NUMBER - BRIDGEWAY HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 13D2013844
  • Facility Name: BRIDGEWAY HEALTH SERVICES
  • Facility Address: 1032 S BRIDGEWAY PLACE #110
    EAGLE, ID
    ZIP 83616
  • Facility Phone: 208 246-0123
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: GRANT B. BELNAP
  • NPI Number: 1265703953
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2013844
LAB Type Comp. Outpatient Rehab Facility
Facility Name BRIDGEWAY HEALTH SERVICES
Street 1032 S BRIDGEWAY PLACE #110
City EAGLE
State ID
ZIP 83616
Phone 208 246-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director GRANT B. BELNAP

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