13D2003306 CLIA NUMBER - ONESOURCE HHC LLC

Laboratory Demographics

  • CLIA Code: 13D2003306
  • Facility Name: ONESOURCE HHC LLC
  • Facility Address: 1680 ELK CREEK DR
    IDAHO FALLS, ID
    ZIP 83404
  • Facility Phone: 208 524-0685
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CORINA KNIGHT
  • NPI Number: 1194016196
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 13D2003306
LAB Type Home Health Agency
Facility Name ONESOURCE HHC LLC
Street 1680 ELK CREEK DR
City IDAHO FALLS
State ID
ZIP 83404
Phone 208 524-0685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Home Health Agency
Lab Director CORINA KNIGHT

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