13D2205447 CLIA NUMBER - CHARDONNAY ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 13D2205447
  • Facility Name: CHARDONNAY ASSISTED LIVING
  • Facility Address: 1045 CARRIAGE LANE
    TWIN FALLS, ID
    ZIP 83301
  • Facility Phone: 208 736-4808
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AARON HUTCHINGS OWNER
  • NPI Number: 1720695927
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D2205447
LAB Type Assisted Living Facility
Facility Name CHARDONNAY ASSISTED LIVING
Street 1045 CARRIAGE LANE
City TWIN FALLS
State ID
ZIP 83301
Phone 208 736-4808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Assisted Living Facility
Lab Director AARON HUTCHINGS OWNER

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