13D1040217 CLIA NUMBER - HOSPICE VISIONS LLC

Laboratory Demographics

CLIA Number: 13D1040217

Facility Name: HOSPICE VISIONS LLC

Facility Address:
455 PARK VIEW LOOP
TWIN FALLS, ID
ZIP 83301
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Facility Phone Number: 208 735-0121

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1720086283

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	13D1040217
LAB Type	Hospice
Facility Name	HOSPICE VISIONS LLC
Street	455 PARK VIEW LOOP
City	TWIN FALLS
State	ID
ZIP	83301
Phone	208 735-0121
CertificateType	4
CertificateEffectiveDate	5/3/2023
CertificateExpirationDate	5/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024