13D2013654 CLIA NUMBER - INTERMOUNTAIN HEALTH HOME SERVICES-CASSIA

Laboratory Demographics

  • CLIA Code: 13D2013654
  • Facility Name: INTERMOUNTAIN HEALTH HOME SERVICES-CASSIA
  • Facility Address: 1501 HILAND AVE STE Z
    BURLEY, ID
    ZIP 83318
  • Facility Phone: (208) 678-8844
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DOMINIC MOORE

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CLIA Record

Field Name Field Value
CLIA Number 13D2013654
LAB Type Home Health Agency
Facility Name INTERMOUNTAIN HEALTH HOME SERVICES-CASSIA
Street 1501 HILAND AVE STE Z
City BURLEY
State ID
ZIP 83318
Phone 2086788844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Home Health Agency
Lab Director DOMINIC MOORE

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This page was last updated on: 6/29/2026