13D2018492 CLIA NUMBER - BENNETT HILLS REHABILITATION AND CARE CENTER

Laboratory Demographics

  • CLIA Code: 13D2018492
  • Facility Name: BENNETT HILLS REHABILITATION AND CARE CENTER
  • Facility Address: 1220 MONTANA STREET
    GOODING, ID
    ZIP 83330
  • Facility Phone: 208 934-5601
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: F JOHN GIES
  • NPI Number: 1306322953
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D2018492
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BENNETT HILLS REHABILITATION AND CARE CENTER
Street 1220 MONTANA STREET
City GOODING
State ID
ZIP 83330
Phone 208 934-5601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director F JOHN GIES

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