13D2271751 CLIA NUMBER - A BRIDGE HOME LLC

Laboratory Demographics

  • CLIA Code: 13D2271751
  • Facility Name: A BRIDGE HOME LLC
  • Facility Address: 1201 FALLS AVE E STE 34
    TWIN FALLS, ID
    ZIP 83301
  • Facility Phone: (208) 423-8694
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BONITA S. STEPHENS
  • NPI Number: 1578217030
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 13D2271751
LAB Type Home Health Agency
Facility Name A BRIDGE HOME LLC
Street 1201 FALLS AVE E STE 34
City TWIN FALLS
State ID
ZIP 83301
Phone 2084238694
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Home Health Agency
Lab Director BONITA S. STEPHENS

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This page was last updated on: 5/18/2026