13D1060776 CLIA NUMBER - HPA IDAHO, LLC DBA HARRISON'S HOPE HOSPICE

Laboratory Demographics

  • CLIA Code: 13D1060776
  • Facility Name: HPA IDAHO, LLC DBA HARRISON'S HOPE HOSPICE
  • Facility Address: 3137 S MERIDIAN RD #120
    MERIDIAN, ID
    ZIP 83642
  • Facility Phone: 208 947-6800
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WENDY SHELL
  • NPI Number: 1114317153
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 13D1060776
LAB Type Hospice
Facility Name HPA IDAHO, LLC DBA HARRISON'S HOPE HOSPICE
Street 3137 S MERIDIAN RD #120
City MERIDIAN
State ID
ZIP 83642
Phone 208 947-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Hospice
Lab Director WENDY SHELL

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