13D2199225 CLIA NUMBER - RSL RENAISSANCE LLC

Laboratory Demographics

  • CLIA Code: 13D2199225
  • Facility Name: RSL RENAISSANCE LLC
  • Facility Address: 2772 W AVANTE' LOOP
    COEUR D'ALENE, ID
    ZIP 83815
  • Facility Phone: 208 664-6116
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TENA M. FLORES
  • NPI Number: 1174149991
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D2199225
LAB Type Assisted Living Facility
Facility Name RSL RENAISSANCE LLC
Street 2772 W AVANTE' LOOP
City COEUR D'ALENE
State ID
ZIP 83815
Phone 208 664-6116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Assisted Living Facility
Lab Director TENA M. FLORES

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