13D1033649 CLIA NUMBER - MINIMALLY INVASIVE SURGERY

Laboratory Demographics

  • CLIA Code: 13D1033649
  • Facility Name: MINIMALLY INVASIVE SURGERY
  • Facility Address: 750 N SYRINGA #103
    POST FALLS, ID
    ZIP 83854
  • Facility Phone: 208 415-0151
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTOINE SARKIS
  • NPI Number: 1992758403
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 13D1033649
LAB Type Physician Office
Facility Name MINIMALLY INVASIVE SURGERY
Street 750 N SYRINGA #103
City POST FALLS
State ID
ZIP 83854
Phone 208 415-0151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director ANTOINE SARKIS

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