13D2091814 CLIA NUMBER - IDAHO FALLS CBOC

Laboratory Demographics

Get Directions

Field Name	Field Value
CLIA Number	13D2091814
LAB Type	Community Clinic
Facility Name	IDAHO FALLS CBOC
Street	3544 EAST 17TH STREET
City	IDAHO FALLS
State	ID
ZIP	83406
Phone	208 522-2922
Certificate Type	Certificate of Accreditation
Certificate Type Description	This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date	2/19/2015
Certificate Expiration Date	5/22/2026
Facility Type	Community Clinic
Lab Director	KANE WALSH

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