13D2026679 CLIA NUMBER - ASHWOOD RECOVERY

Laboratory Demographics

  • CLIA Code: 13D2026679
  • Facility Name: ASHWOOD RECOVERY
  • Facility Address: 7941 W RIFLEMAN ST
    BOISE, ID
    ZIP 83704
  • Facility Phone: 208 867-1454
  • Facility Type: Other - OUTPATIENT SUBSTANCE
  • Facility Type: Waiver
  • Lab Director: KELLY A. GROUX
  • NPI Number: 1043545106
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2026679
LAB Type Other - OUTPATIENT SUBSTANCE
Facility Name ASHWOOD RECOVERY
Street 7941 W RIFLEMAN ST
City BOISE
State ID
ZIP 83704
Phone 208 867-1454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Other - OUTPATIENT SUBSTANCE
Lab Director KELLY A. GROUX

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