05D2024223 CLIA NUMBER - TAHOE FOREST HOME HEALTH / HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2024223
  • Facility Name: TAHOE FOREST HOME HEALTH / HOSPICE
  • Facility Address: 10985 SPRING LANE
    TRUCKEE, CA
    ZIP 96161
  • Facility Phone: 530 582-6278
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOHANNA KOCH
  • NPI Number: 1811453046
  • Taxonomy: 174H00000X - Health Educator

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CLIA Record

Field Name Field Value
CLIA Number 05D2024223
LAB Type Home Health Agency
Facility Name TAHOE FOREST HOME HEALTH / HOSPICE
Street 10985 SPRING LANE
City TRUCKEE
State CA
ZIP 96161
Phone 530 582-6278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Home Health Agency
Lab Director JOHANNA KOCH

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