13D2247802 CLIA NUMBER - ASPEN VALLEY MT LLC DBA ASPEN VALLEY SENIOR LIVING COMMUNITY

Laboratory Demographics

  • CLIA Code: 13D2247802
  • Facility Name: ASPEN VALLEY MT LLC DBA ASPEN VALLEY SENIOR LIVING COMMUNITY
  • Facility Address: 4455 E WARM SPRINGS AVE
    BOISE, ID
    ZIP 83716
  • Facility Phone: 208 906-1900
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MONICA J. DELAND
  • NPI Number: 1407444268
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2247802
LAB Type Assisted Living Facility
Facility Name ASPEN VALLEY MT LLC DBA ASPEN VALLEY SENIOR LIVING COMMUNITY
Street 4455 E WARM SPRINGS AVE
City BOISE
State ID
ZIP 83716
Phone 208 906-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Assisted Living Facility
Lab Director MONICA J. DELAND

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