13D2192101 CLIA NUMBER - ONEIDA COUNTY LONG-TERM CARE

Laboratory Demographics

  • CLIA Code: 13D2192101
  • Facility Name: ONEIDA COUNTY LONG-TERM CARE
  • Facility Address: 150 NORTH 200 WEST
    MALAD CITY, ID
    ZIP 83252
  • Facility Phone: 208 766-2231
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MATTHEW EVANS
  • NPI Number: 1609826270
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 13D2192101
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ONEIDA COUNTY LONG-TERM CARE
Street 150 NORTH 200 WEST
City MALAD CITY
State ID
ZIP 83252
Phone 208 766-2231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MATTHEW EVANS

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