13D1038652 CLIA NUMBER - BOISE DIALYSIS LLC DBA FRESENUIS KIDNEY CARE-MERIDIAN

Laboratory Demographics

  • CLIA Code: 13D1038652
  • Facility Name: BOISE DIALYSIS LLC DBA FRESENUIS KIDNEY CARE-MERIDIAN
  • Facility Address: 3525 E LOUISE DR #100
    MERIDIAN, ID
    ZIP 83642
  • Facility Phone: 208 747-0880
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CLAUDE O. BURDICK
  • NPI Number: 1639115785
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D1038652
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BOISE DIALYSIS LLC DBA FRESENUIS KIDNEY CARE-MERIDIAN
Street 3525 E LOUISE DR #100
City MERIDIAN
State ID
ZIP 83642
Phone 208 747-0880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CLAUDE O. BURDICK

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