CLIA lab
CLIA 13D2091363: Boise Skin Clinic, PLLC
Boise, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2091363 belongs to Boise Skin Clinic, PLLC in Boise, ID.
Certificate for Provider-Performed Microscopy Procedures, effective July 13, 2025, expires July 12, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- July 13, 2025
- Certificate expiration
- July 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 11, 2015
- 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
- 13D2091363
- Lab name
- Boise Skin Clinic, PLLC
- Address
- 1636 Hadley Ave, Boise, ID 83709
- Phone
- (208) 258-2078
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 500
- Total
- 1,000
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 Boise Skin Clinic, PLLC in Boise?
13D2091363, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Boise Skin Clinic, PLLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D2091363 expire?
The CMS file lists July 12, 2027 as the certificate expiration date; the certificate took effect July 13, 2025.