13D2014600 CLIA NUMBER - CENTER FOR PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 13D2014600
  • Facility Name: CENTER FOR PLASTIC SURGERY
  • Facility Address: 1880 FILLMORE ST
    TWIN FALLS, ID
    ZIP 83301
  • Facility Phone: 208 735-8386
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DELL P. SMITH
  • NPI Number: 1154577203
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2014600
LAB Type Ambulatory Surgery Center
Facility Name CENTER FOR PLASTIC SURGERY
Street 1880 FILLMORE ST
City TWIN FALLS
State ID
ZIP 83301
Phone 208 735-8386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Ambulatory Surgery Center
Lab Director DELL P. SMITH

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