13D2280938 CLIA NUMBER - ANCORA HOSPICE & PALLIATIVE SERVICES

Laboratory Demographics

  • CLIA Code: 13D2280938
  • Facility Name: ANCORA HOSPICE & PALLIATIVE SERVICES
  • Facility Address: 660 E FRANKLIN RD STE 140
    MERIDIAN, ID
    ZIP 83642
  • Facility Phone: 208 452-2672
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DANIELLE CASTRO
  • NPI Number: 1558079566
  • Taxonomy: 207QH0002X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 13D2280938
LAB Type Hospice
Facility Name ANCORA HOSPICE & PALLIATIVE SERVICES
Street 660 E FRANKLIN RD STE 140
City MERIDIAN
State ID
ZIP 83642
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 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Hospice
Lab Director DANIELLE CASTRO

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