13D0974072 CLIA NUMBER - CENTER FOR SURGERY PLLC

Laboratory Demographics

  • CLIA Code: 13D0974072
  • Facility Name: CENTER FOR SURGERY PLLC
  • Facility Address: 3369 MERLIN DRIVE STE A
    IDAHO FALLS, ID
    ZIP 83404
  • Facility Phone: 208 524-8351
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GARY W. WALLACE
  • NPI Number: 1912046210
  • Taxonomy: 2086S0122X - Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D0974072
LAB Type Ambulatory Surgery Center
Facility Name CENTER FOR SURGERY PLLC
Street 3369 MERLIN DRIVE STE A
City IDAHO FALLS
State ID
ZIP 83404
Phone 208 524-8351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Ambulatory Surgery Center
Lab Director GARY W. WALLACE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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