13D1082209 CLIA NUMBER - HANDS OF HOPE HOME HEALTH AND HOSPICE

Laboratory Demographics

  • CLIA Code: 13D1082209
  • Facility Name: HANDS OF HOPE HOME HEALTH AND HOSPICE
  • Facility Address: 1379 E 17TH STREET
    IDAHO FALLS, ID
    ZIP 83404
  • Facility Phone: 208 523-7441
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARK HYMAS
  • NPI Number: 1497706485
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 13D1082209
LAB Type Home Health Agency
Facility Name HANDS OF HOPE HOME HEALTH AND HOSPICE
Street 1379 E 17TH STREET
City IDAHO FALLS
State ID
ZIP 83404
Phone 208 523-7441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Home Health Agency
Lab Director MARK HYMAS

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This page was last updated on: 6/4/2025