13D2302499 CLIA NUMBER - LHCG XVII LLC DBA IDAHO HOME HEALTH & HOSPICE

Laboratory Demographics

  • CLIA Code: 13D2302499
  • Facility Name: LHCG XVII LLC DBA IDAHO HOME HEALTH & HOSPICE
  • Facility Address: 722 N COLLEGE RD STE 125
    TWIN FALLS, ID
    ZIP 83301
  • Facility Phone: 208 595-3538
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ABBI BOHLMANN
  • NPI Number: 1215248489
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 13D2302499
LAB Type Hospice
Facility Name LHCG XVII LLC DBA IDAHO HOME HEALTH & HOSPICE
Street 722 N COLLEGE RD STE 125
City TWIN FALLS
State ID
ZIP 83301
Phone 208 595-3538
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Hospice
Lab Director ABBI BOHLMANN

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