13D2131891 CLIA NUMBER - DOCTORS HOSPICE OF IDAHO LLC

Laboratory Demographics

CLIA Number: 13D2131891

Facility Name: DOCTORS HOSPICE OF IDAHO LLC

Facility Address:
1552 N CRESTMONT DR STE B
MERIDIAN, ID
ZIP 83642
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Facility Phone Number: (208) 985-2260

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1871946483

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	13D2131891
LAB Type	HOSPICE
Facility Name	DOCTORS HOSPICE OF IDAHO LLC
Street	1552 N CRESTMONT DR STE B
City	MERIDIAN
State	ID
ZIP	83642
Phone	(208) 985-2260

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This page was last updated on: 5/11/2023