CLIA lab
CLIA 13D1084633: Idaho Skin Surgery Center
Boise, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D1084633 belongs to Idaho Skin Surgery Center in Boise, ID.
Certificate of Compliance, effective June 2, 2025, expires June 1, 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 Compliance
- Certificate effective
- June 2, 2025
- Certificate expiration
- June 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 29, 2008
- 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
- 13D1084633
- Lab name
- Idaho Skin Surgery Center
- Address
- 1906 S Vista Ave, Boise, ID 83705
- Phone
- (208) 433-1114
- Fax
- (208) 433-1115
Annual test volume the lab reported
- Waived tests
- 112
- Other nonwaived tests
- 1,288
- Total
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ada County Emergency Medical ServicesCertificate of Waiver, Other13D0704499
- Ada County Jail Health ServicesCertificate of Compliance, Prison13D1010306
- Ada County Juvenile Detention Center MedicalCertificate of Waiver, Other13D1008051
- Ada Dermatology ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office13D0521684
- Ada Home HealthCertificate of Waiver, Home health agency13D2315291
- Ada Pediatrics PACertificate of Waiver, Physician office13D0521701
- Ada West Dermatology-Barber StationCertificate of Compliance, Physician office13D2267834
- Add Clinic - AmityCertificate of Waiver, Independent13D2322170
Related
Questions
What is the CLIA number for Idaho Skin Surgery Center in Boise?
13D1084633, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Idaho Skin Surgery Center hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 13D1084633 expire?
The CMS file lists June 1, 2027 as the certificate expiration date; the certificate took effect June 2, 2025.