27D2192184 CLIA NUMBER - HESTIA IN-HOME SUPPORT, LLC DBA HESTIA HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 27D2192184
  • Facility Name: HESTIA IN-HOME SUPPORT, LLC DBA HESTIA HOSPICE CARE
  • Facility Address: 700 SW HIGGINS, SUITE 102
    MISSOULA, MT
    ZIP 59803
  • Facility Phone: 406 540-4302
  • Facility Type: Other - PALLIATIVE
  • Facility Type: Waiver
  • Lab Director: MRS. MAURIKA J. MOORE
  • NPI Number: 1619325016
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 27D2192184
LAB Type Other - PALLIATIVE
Facility Name HESTIA IN-HOME SUPPORT, LLC DBA HESTIA HOSPICE CARE
Street 700 SW HIGGINS, SUITE 102
City MISSOULA
State MT
ZIP 59803
Phone 406 540-4302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Other - PALLIATIVE
Lab Director MRS. MAURIKA J. MOORE

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