13D2192420 CLIA NUMBER - VERANDA SENIOR LIVING LLC

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Laboratory Demographics

CLIA Number: 13D2192420

Facility Name: VERANDA SENIOR LIVING LLC

Facility Address:
6280 N FOX RUN WAY
MERIDIAN, ID
ZIP 83646
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Facility Phone Number: (208) 639-0009

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver

NPI Number: 1508329343

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	13D2192420
LAB Type	ASSISTED LIVING FACILITY
Facility Name	VERANDA SENIOR LIVING LLC
Street	6280 N FOX RUN WAY
City	MERIDIAN
State	ID
ZIP	83646
Phone	(208) 639-0009

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This page was last updated on: 5/11/2023