13D2296974 CLIA NUMBER - COPPER FALLS HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 13D2296974
  • Facility Name: COPPER FALLS HOSPICE LLC
  • Facility Address: 1830 S EAGLE RD
    MERIDIAN, ID
    ZIP 83642
  • Facility Phone: 208 995-2453
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANN AGNEW
  • NPI Number: 1881468189
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 13D2296974
LAB Type Hospice
Facility Name COPPER FALLS HOSPICE LLC
Street 1830 S EAGLE RD
City MERIDIAN
State ID
ZIP 83642
Phone 208 995-2453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Hospice
Lab Director ANN AGNEW

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