13D2132897 CLIA NUMBER - BROOKDALE LEWISTON

Laboratory Demographics

  • CLIA Code: 13D2132897
  • Facility Name: BROOKDALE LEWISTON
  • Facility Address: 2975 JUNIPER DR
    LEWISTON, ID
    ZIP 83501
  • Facility Phone: (208) 743-8865
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MINDY RITZ
  • NPI Number: 1851422620
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D2132897
LAB Type Assisted Living Facility
Facility Name BROOKDALE LEWISTON
Street 2975 JUNIPER DR
City LEWISTON
State ID
ZIP 83501
Phone 2087438865
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Assisted Living Facility
Lab Director MINDY RITZ

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This page was last updated on: 5/18/2026