13D0957690 CLIA NUMBER - ASPEN HOME HEALTH & HOSPICE

Laboratory Demographics

  • CLIA Code: 13D0957690
  • Facility Name: ASPEN HOME HEALTH & HOSPICE
  • Facility Address: 3470 WASHINGTON PKWY
    IDAHO FALLS, ID
    ZIP 83404
  • Facility Phone: 208 529-0800
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DEANNA S. BAIRD
  • NPI Number: 1396891412
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 13D0957690
LAB Type Home Health Agency
Facility Name ASPEN HOME HEALTH & HOSPICE
Street 3470 WASHINGTON PKWY
City IDAHO FALLS
State ID
ZIP 83404
Phone 208 529-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Home Health Agency
Lab Director DEANNA S. BAIRD

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