13D0974898 CLIA NUMBER - REXBURG HOME HEALTH & HOSPICE

Laboratory Demographics

  • CLIA Code: 13D0974898
  • Facility Name: REXBURG HOME HEALTH & HOSPICE
  • Facility Address: 280 E MAIN ST
    REXBURG, ID
    ZIP 83440
  • Facility Phone: 208 356-6688
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DEANNA BAIRD
  • NPI Number: 1710033832
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 13D0974898
LAB Type Home Health Agency
Facility Name REXBURG HOME HEALTH & HOSPICE
Street 280 E MAIN ST
City REXBURG
State ID
ZIP 83440
Phone 208 356-6688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Home Health Agency
Lab Director DEANNA BAIRD

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