13D2165080 CLIA NUMBER - PRECISION SURGERY CENTER PLLC

Laboratory Demographics

  • CLIA Code: 13D2165080
  • Facility Name: PRECISION SURGERY CENTER PLLC
  • Facility Address: 900 N LIBERTY ST STE 300
    BOISE, ID
    ZIP 83704
  • Facility Phone: 208 484-8428
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SANDRA A. THOMPSON
  • NPI Number: 1528396884
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 13D2165080
LAB Type Ambulatory Surgery Center
Facility Name PRECISION SURGERY CENTER PLLC
Street 900 N LIBERTY ST STE 300
City BOISE
State ID
ZIP 83704
Phone 208 484-8428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Ambulatory Surgery Center
Lab Director SANDRA A. THOMPSON

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