13D2126499 CLIA NUMBER - RIVER VIEW SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 13D2126499
  • Facility Name: RIVER VIEW SURGERY CENTER LLC
  • Facility Address: 1502 LOCUST ST NORTH STE 100
    TWIN FALLS, ID
    ZIP 83301
  • Facility Phone: 208 933-2540
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JASON T. HALVERSON
  • NPI Number: 1831636752
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2126499
LAB Type Ambulatory Surgery Center
Facility Name RIVER VIEW SURGERY CENTER LLC
Street 1502 LOCUST ST NORTH STE 100
City TWIN FALLS
State ID
ZIP 83301
Phone 208 933-2540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Ambulatory Surgery Center
Lab Director JASON T. HALVERSON

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