13D1015796 CLIA NUMBER - EMERALD SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 13D1015796
  • Facility Name: EMERALD SURGICAL CENTER
  • Facility Address: 811 N LIBERTY STREET
    BOISE, ID
    ZIP 83704
  • Facility Phone: (208) 323-4522
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RONALD KRISTENSEN
  • NPI Number: 1376607309
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D1015796
LAB Type Ambulatory Surgery Center
Facility Name EMERALD SURGICAL CENTER
Street 811 N LIBERTY STREET
City BOISE
State ID
ZIP 83704
Phone 2083234522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Ambulatory Surgery Center
Lab Director RONALD KRISTENSEN

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This page was last updated on: 5/18/2026