CLIA lab
CLIA 13D2085788: Premise Health of Idaho Medical PC
Burley, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2085788 belongs to Premise Health of Idaho Medical PC in Burley, ID.
Certificate of Waiver, effective October 22, 2026, expires October 21, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 22, 2026
- Certificate expiration
- October 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 2014
- 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
- 13D2085788
- Lab name
- Premise Health of Idaho Medical PC
- Address
- 126 E 21st St, Burley, ID 83318
- Phone
- (208) 678-2191
- Fax
- (208) 678-6077
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Burley, ID
- Ambulatory Surgery Center of BurleyCertificate of Waiver, Ambulatory surgery center13D0969156
- Bernard Boehmer MD PACertificate of Waiver, Physician office13D0520642
- Burley Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility13D0936392
- Cassia Family Practice & ObstetricsCertificate of Waiver, Physician office13D0684377
- Cassia UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office13D2314048
- DRS Campbell and AndersonCertificate of Waiver, Physician office13D1031422
- Family Health Services BurleyCertificate of Waiver, Federally qualified health center13D2264698
- Hiland's Thirteen IncCertificate of Waiver, Pharmacy13D2283377
- Hurst MedicalCertificate of Waiver, Other practitioner13D2162949
- Idaho Skin Institute of BurleyCertificate for Provider-Performed Microscopy Procedures, Physician office13D2170865
Related
Questions
What is the CLIA number for Premise Health of Idaho Medical PC in Burley?
13D2085788, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Idaho Medical PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2085788 expire?
The CMS file lists October 21, 2028 as the certificate expiration date; the certificate took effect October 22, 2026.