13D2193886 CLIA NUMBER - BOISE STATE GENETICS AND INFECTIOUS DISEASE LABORATORY

Laboratory Demographics

  • CLIA Code: 13D2193886
  • Facility Name: BOISE STATE GENETICS AND INFECTIOUS DISEASE LABORATORY
  • Facility Address: 2133 W CESAR CHAVEZ WAY SCIENCE 239/240
    BOISE, ID
    ZIP 83725
  • Facility Phone: 208 426-1038
  • Facility Type: Public Health Laboratories
  • Facility Type: Certificate of Compliance
  • Lab Director: MATTHEW BURTELOW
  • NPI Number: 1770183089
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 13D2193886
LAB Type Public Health Laboratories
Facility Name BOISE STATE GENETICS AND INFECTIOUS DISEASE LABORATORY
Street 2133 W CESAR CHAVEZ WAY SCIENCE 239/240
City BOISE
State ID
ZIP 83725
Phone 208 426-1038
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Public Health Laboratories
Lab Director MATTHEW BURTELOW

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