13D2194027 CLIA NUMBER - GRACE AT CALDWELL LLC

Laboratory Demographics

  • CLIA Code: 13D2194027
  • Facility Name: GRACE AT CALDWELL LLC
  • Facility Address: 518 N 21ST AVENUE
    CALDWELL, ID
    ZIP 83605
  • Facility Phone: 208 455-8181
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MONICA HEATH
  • NPI Number: 1891319141
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2194027
LAB Type Assisted Living Facility
Facility Name GRACE AT CALDWELL LLC
Street 518 N 21ST AVENUE
City CALDWELL
State ID
ZIP 83605
Phone 208 455-8181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Assisted Living Facility
Lab Director MONICA HEATH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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