13D2237302 CLIA NUMBER - ANCORA HOSPICE & PALLIATIVE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 13D2237302
  • Facility Name: ANCORA HOSPICE & PALLIATIVE SERVICES LLC
  • Facility Address: 808 N WHITLEY DR
    FRUITLAND, ID
    ZIP 83619
  • Facility Phone: 208 452-2672
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DANI D. CASTRO
  • NPI Number: 1558933440
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 13D2237302
LAB Type Hospice
Facility Name ANCORA HOSPICE & PALLIATIVE SERVICES LLC
Street 808 N WHITLEY DR
City FRUITLAND
State ID
ZIP 83619
Phone 208 452-2672
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Hospice
Lab Director DANI D. CASTRO

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