13D2104971 CLIA NUMBER - THE TERRACES OF BOISE

Laboratory Demographics

  • CLIA Code: 13D2104971
  • Facility Name: THE TERRACES OF BOISE
  • Facility Address: 5301 E WARM SPRINGS AVE
    BOISE, ID
    ZIP 83716
  • Facility Phone: 208 336-5550
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN MONTAMAT
  • NPI Number: 1407239973
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D2104971
LAB Type Assisted Living Facility
Facility Name THE TERRACES OF BOISE
Street 5301 E WARM SPRINGS AVE
City BOISE
State ID
ZIP 83716
Phone 208 336-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Assisted Living Facility
Lab Director STEPHEN MONTAMAT

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