13D0936392 CLIA NUMBER - BURLEY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 13D0936392
  • Facility Name: BURLEY DIALYSIS CENTER
  • Facility Address: 741 N OVERLAND AVE
    BURLEY, ID
    ZIP 83318
  • Facility Phone: 208 677-5483
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE MYERS
  • NPI Number: 1326099011
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D0936392
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BURLEY DIALYSIS CENTER
Street 741 N OVERLAND AVE
City BURLEY
State ID
ZIP 83318
Phone 208 677-5483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHELLE MYERS

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