13D2015861 CLIA NUMBER - SOLACE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 13D2015861
  • Facility Name: SOLACE HEALTHCARE
  • Facility Address: 850 ENERGY DR STE 2
    IDAHO FALLS, ID
    ZIP 83401
  • Facility Phone: 208 757-8444
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SHALYCE PITCHER
  • NPI Number: 1417260563
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 13D2015861
LAB Type Hospice
Facility Name SOLACE HEALTHCARE
Street 850 ENERGY DR STE 2
City IDAHO FALLS
State ID
ZIP 83401
Phone 208 757-8444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Hospice
Lab Director SHALYCE PITCHER

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