13D2192418 CLIA NUMBER - BARBER STATION ASSISTED LIVING AND MEMORY CARE

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Laboratory Demographics

CLIA Number: 13D2192418

Facility Name: BARBER STATION ASSISTED LIVING AND MEMORY CARE

Facility Address:
3266 E BARBER VALLEY DR
BOISE, ID
ZIP 83716
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Facility Phone Number: 208 616-1150

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1477016012

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	13D2192418
LAB Type	Assisted Living Facility
Facility Name	BARBER STATION ASSISTED LIVING AND MEMORY CARE
Street	3266 E BARBER VALLEY DR
City	BOISE
State	ID
ZIP	83716
Phone	208 616-1150
CertificateType	4
CertificateEffectiveDate	9/10/2022
CertificateExpirationDate	9/9/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024