CLIA lab
CLIA 13D1084554: Ip Boise 2
Boise, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D1084554 belongs to Ip Boise 2 in Boise, ID.
Certificate of Waiver, effective May 28, 2026, expires May 27, 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
- May 28, 2026
- Certificate expiration
- May 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 28, 2008
- Facility type
- Independent
- 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
- 13D1084554
- Lab name
- Ip Boise 2
- Address
- 777 N Raymond St, Boise, ID 83704
- Phone
- (208) 514-2500
- Fax
- (208) 375-2427
Annual test volume the lab reported
- Waived tests
- 200
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 Ip Boise 2 in Boise?
13D1084554, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ip Boise 2 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D1084554 expire?
The CMS file lists May 27, 2028 as the certificate expiration date; the certificate took effect May 28, 2026.