CLIA lab
CLIA 13D1076383: Physicians & Surgeons Clinic of Shelley
Shelley, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D1076383 belongs to Physicians & Surgeons Clinic of Shelley in Shelley, ID.
Certificate of Waiver, effective December 26, 2024, expires December 25, 2026.
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
- December 26, 2024
- Certificate expiration
- December 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 13, 2007
- Facility type
- Community clinic
- Ownership (control type)
- Other
- 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
- 13D1076383
- Lab name
- Physicians & Surgeons Clinic of Shelley
- Address
- 275 W Locust St, Shelley, ID 83274
- Phone
- (208) 357-3960
- Fax
- (208) 357-3968
Annual test volume the lab reported
- Waived tests
- 1,000
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 Physicians & Surgeons Clinic of Shelley in Shelley?
13D1076383, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Physicians & Surgeons Clinic of Shelley hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D1076383 expire?
The CMS file lists December 25, 2026 as the certificate expiration date; the certificate took effect December 26, 2024.