13D2308976 CLIA NUMBER - MOUNTAIN VIEW SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 13D2308976
  • Facility Name: MOUNTAIN VIEW SURGERY CENTER
  • Facility Address: 1828 S MILLENNIUM WAY STE #100
    MERIDIAN, ID
    ZIP 83642
  • Facility Phone: (208) 445-2456
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHERRI L. STANLEY
  • NPI Number: 1962257048
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2308976
LAB Type Ambulatory Surgery Center
Facility Name MOUNTAIN VIEW SURGERY CENTER
Street 1828 S MILLENNIUM WAY STE #100
City MERIDIAN
State ID
ZIP 83642
Phone 2084452456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Ambulatory Surgery Center
Lab Director SHERRI L. STANLEY

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This page was last updated on: 5/18/2026