CLIA lab
CLIA 13D0705400: Shelley Family Medical Center
Shelley, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D0705400 belongs to Shelley Family Medical Center in Shelley, ID.
Certificate of Waiver, effective March 13, 2025, expires March 12, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 13, 2025
- Certificate expiration
- March 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 13D0705400
- Lab name
- Shelley Family Medical Center
- Address
- 210 S Emerson Ave, Shelley, ID 83274
- Phone
- (208) 357-7404
Annual test volume the lab reported
- Waived tests
- 475
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Shelley, ID
Related
Questions
What is the CLIA number for Shelley Family Medical Center in Shelley?
13D0705400, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shelley Family Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D0705400 expire?
The CMS file lists March 12, 2027 as the certificate expiration date; the certificate took effect March 13, 2025.