CLIA lab
CLIA 13D2057730: Southfork Healthcare
Irwin, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2057730 belongs to Southfork Healthcare in Irwin, ID.
Certificate of Waiver, effective April 23, 2025, expires April 22, 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
- April 23, 2025
- Certificate expiration
- April 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 23, 2013
- Facility type
- Other practitioner
- 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
- 13D2057730
- Lab name
- Southfork Healthcare
- Address
- 3388 Swan Valley Hwy, Irwin, ID 83428
- Phone
- (208) 360-1997
Annual test volume the lab reported
- Waived tests
- 40
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Southfork Healthcare in Irwin?
13D2057730, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southfork Healthcare hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2057730 expire?
The CMS file lists April 22, 2027 as the certificate expiration date; the certificate took effect April 23, 2025.