13D2211081 CLIA NUMBER - HEALTHY BALANCE DIRECT CARE

Laboratory Demographics

CLIA Number: 13D2211081

Facility Name: HEALTHY BALANCE DIRECT CARE

Facility Address:
524 CLEVELAND BLVD STE 110
CALDWELL, ID
ZIP 83605
Get Directions

Facility Phone Number: 208 459-1503

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952895294

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	13D2211081
LAB Type	Physician Office
Facility Name	HEALTHY BALANCE DIRECT CARE
Street	524 CLEVELAND BLVD STE 110
City	CALDWELL
State	ID
ZIP	83605
Phone	208 459-1503
CertificateType	4
CertificateEffectiveDate	1/26/2023
CertificateExpirationDate	1/25/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024