13D2067998 CLIA NUMBER - ST LUKE'S HOME CARE & HOSPICE TWIN FALLS

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Laboratory Demographics

CLIA Number: 13D2067998

Facility Name: ST LUKE'S HOME CARE & HOSPICE TWIN FALLS

Facility Address:
601 POLELINE RD
TWIN FALLS, ID
ZIP 83301
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Facility Phone Number: 208 814-7625

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1043257736

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	13D2067998
LAB Type	Home Health Agency
Facility Name	ST LUKE'S HOME CARE & HOSPICE TWIN FALLS
Street	601 POLELINE RD
City	TWIN FALLS
State	ID
ZIP	83301
Phone	208 814-7625
CertificateType	4
CertificateEffectiveDate	10/25/2023
CertificateExpirationDate	10/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024