CLIA lab
CLIA 13D1075545: ST Luke's Children's Treasure Valley Pediatrics
Eagle, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D1075545 belongs to ST Luke's Children's Treasure Valley Pediatrics in Eagle, ID.
Certificate of Waiver, effective September 21, 2026, expires September 20, 2028.
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
- September 21, 2026
- Certificate expiration
- September 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 2007
- 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
- 13D1075545
- Lab name
- ST Luke's Children's Treasure Valley Pediatrics
- Address
- 450 W State St #100, Eagle, ID 83616
- Phone
- (208) 939-1035
- Fax
- (208) 939-8970
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for ST Luke's Children's Treasure Valley Pediatrics in Eagle?
13D1075545, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Luke's Children's Treasure Valley Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D1075545 expire?
The CMS file lists September 20, 2028 as the certificate expiration date; the certificate took effect September 21, 2026.