13D2133621 CLIA NUMBER - TETON HEALTHCARE INC DBA HORIZON HOSPICE

Laboratory Demographics

  • CLIA Code: 13D2133621
  • Facility Name: TETON HEALTHCARE INC DBA HORIZON HOSPICE
  • Facility Address: 63 W WILLOWBROOK DR
    MERIDIAN, ID
    ZIP 83646
  • Facility Phone: 208 888-7877
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SUSAN HEPWORTH
  • NPI Number: 1689996357
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 13D2133621
LAB Type Hospice
Facility Name TETON HEALTHCARE INC DBA HORIZON HOSPICE
Street 63 W WILLOWBROOK DR
City MERIDIAN
State ID
ZIP 83646
Phone 208 888-7877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Hospice
Lab Director SUSAN HEPWORTH

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