13D2083849 CLIA NUMBER - BRICK HOUSE RECOVERY

Laboratory Demographics

  • CLIA Code: 13D2083849
  • Facility Name: BRICK HOUSE RECOVERY
  • Facility Address: 3663 N LAKEHARBOR LN
    BOISE, ID
    ZIP 83703
  • Facility Phone: 208 286-4274
  • Facility Type: Other - SUD TREATMENT
  • Facility Type: Waiver
  • Lab Director: JAMES D. COOMBS
  • NPI Number: 1083150296
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2083849
LAB Type Other - SUD TREATMENT
Facility Name BRICK HOUSE RECOVERY
Street 3663 N LAKEHARBOR LN
City BOISE
State ID
ZIP 83703
Phone 208 286-4274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Other - SUD TREATMENT
Lab Director JAMES D. COOMBS

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