13D2250200 CLIA NUMBER - STREAMSIDE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 13D2250200
  • Facility Name: STREAMSIDE ASSISTED LIVING
  • Facility Address: 1355 EDGEWATER CIRCLE
    NAMPA, ID
    ZIP 83686
  • Facility Phone: 208 422-0097
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOSHUA D. SMITH
  • NPI Number: 1104599901
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D2250200
LAB Type Assisted Living Facility
Facility Name STREAMSIDE ASSISTED LIVING
Street 1355 EDGEWATER CIRCLE
City NAMPA
State ID
ZIP 83686
Phone 208 422-0097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Assisted Living Facility
Lab Director JOSHUA D. SMITH

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