13D0878627 CLIA NUMBER - LHCG XVII LLC DBA IDAHO HOME HEALTH & HOSPICE

Laboratory Demographics

  • CLIA Code: 13D0878627
  • Facility Name: LHCG XVII LLC DBA IDAHO HOME HEALTH & HOSPICE
  • Facility Address: 722 N COLLEGE RD STE 150
    TWIN FALLS, ID
    ZIP 83301
  • Facility Phone: 208 734-4061
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMANDA TORRES
  • NPI Number: 1356669675
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 13D0878627
LAB Type Hospice
Facility Name LHCG XVII LLC DBA IDAHO HOME HEALTH & HOSPICE
Street 722 N COLLEGE RD STE 150
City TWIN FALLS
State ID
ZIP 83301
Phone 208 734-4061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Hospice
Lab Director AMANDA TORRES

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