13D2285799 CLIA NUMBER - TETON HEALTHCARE INC DBA HORIZON HOSPICE WEST

Laboratory Demographics

  • CLIA Code: 13D2285799
  • Facility Name: TETON HEALTHCARE INC DBA HORIZON HOSPICE WEST
  • Facility Address: 139 N WHITLEY DR
    FRUITLAND, ID
    ZIP 83619
  • Facility Phone: 208 549-2104
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BECKY MILES
  • NPI Number: 1033530035
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 13D2285799
LAB Type Hospice
Facility Name TETON HEALTHCARE INC DBA HORIZON HOSPICE WEST
Street 139 N WHITLEY DR
City FRUITLAND
State ID
ZIP 83619
Phone 208 549-2104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Hospice
Lab Director BECKY MILES

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