CLIA lab

CLIA 13D2123706: Eagle Vision One

Eagle, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 13D2123706 belongs to Eagle Vision One in Eagle, ID.

Certificate of Waiver, effective December 29, 2024, expires December 28, 2026.

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
December 29, 2024
Certificate expiration
December 28, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 29, 2016
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
13D2123706
Lab name
Eagle Vision One
Address
355 S Eagle Rd, Eagle, ID 83616
Phone
(208) 938-2015
Fax
(208) 938-5755

Annual test volume the lab reported

Waived tests
2,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Eagle, ID

Related

Questions

What is the CLIA number for Eagle Vision One in Eagle?

13D2123706, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Eagle Vision One hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 13D2123706 expire?

The CMS file lists December 28, 2026 as the certificate expiration date; the certificate took effect December 29, 2024.

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