13D2195100 CLIA NUMBER - SYRINGA HOSPICE

Laboratory Demographics

  • CLIA Code: 13D2195100
  • Facility Name: SYRINGA HOSPICE
  • Facility Address: 202 N A ST
    GRANGEVILLE, ID
    ZIP 83530
  • Facility Phone: 208 983-8550
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TAIREL ROWLEY
  • NPI Number: 1841314663
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 13D2195100
LAB Type Hospice
Facility Name SYRINGA HOSPICE
Street 202 N A ST
City GRANGEVILLE
State ID
ZIP 83530
Phone 208 983-8550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Hospice
Lab Director TAIREL ROWLEY

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