13D2194058 CLIA NUMBER - GRACE LLC

Laboratory Demographics

  • CLIA Code: 13D2194058
  • Facility Name: GRACE LLC
  • Facility Address: 1610 SUNNY RIDGE RD
    NAMPA, ID
    ZIP 83686
  • Facility Phone: 208 442-9595
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MONICA HEATH
  • NPI Number: 1336763689
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D2194058
LAB Type Assisted Living Facility
Facility Name GRACE LLC
Street 1610 SUNNY RIDGE RD
City NAMPA
State ID
ZIP 83686
Phone 208 442-9595
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

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