13D2194044 CLIA NUMBER - GRACE AT ENGLEFIELD GREEN LLC

Laboratory Demographics

  • CLIA Code: 13D2194044
  • Facility Name: GRACE AT ENGLEFIELD GREEN LLC
  • Facility Address: 250 S ALLUMBAUGH WAY
    BOISE, ID
    ZIP 83709
  • Facility Phone: 208 322-8080
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MONICA HEATH
  • NPI Number: 1447874797
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2194044
LAB Type Assisted Living Facility
Facility Name GRACE AT ENGLEFIELD GREEN LLC
Street 250 S ALLUMBAUGH WAY
City BOISE
State ID
ZIP 83709
Phone 208 322-8080
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