CLIA lab
CLIA 13D2067610: Edgewood Fruitland Senior Living LLC
Fruitland, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2067610 belongs to Edgewood Fruitland Senior Living LLC in Fruitland, ID.
Certificate of Waiver, effective October 21, 2025, expires October 20, 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
- October 21, 2025
- Certificate expiration
- October 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 2013
- Facility type
- Assisted living facility
- 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
- 13D2067610
- Lab name
- Edgewood Fruitland Senior Living LLC
- Address
- 1255 Allen Ave, Fruitland, ID 83619
- Phone
- (541) 212-8727
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fruitland, ID
- Ancora Hospice & Palliative Services LLCCertificate of Waiver, Hospice13D2237302
- Canyon Home Care & HospiceCertificate of Waiver, Home health agency13D2035328
- Canyon Home Care & HospiceCertificate of Waiver, Hospice13D2129179
- Fruitland DialysisCertificate of Waiver, End stage renal disease dialysis facility13D2132636
- Fruitland Health PlazaCertificate of Waiver, Ancillary test site13D2049635
- Grace at Fruitland LLCCertificate of Waiver, Assisted living facility13D2296551
- Guardian Homecare IncCertificate of Waiver, Hospice13D0956660
- Heart 'N Home Hospice & Pallative Care LLCCertificate of Waiver, Home health agency13D2107421
- Issc FruitlandCertificate of Registration, Physician office13D0996477
- Iwasa Eye CenterCertificate of Waiver, Physician office13D1087337
Related
Questions
What is the CLIA number for Edgewood Fruitland Senior Living LLC in Fruitland?
13D2067610, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Edgewood Fruitland Senior Living LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2067610 expire?
The CMS file lists October 20, 2027 as the certificate expiration date; the certificate took effect October 21, 2025.