CLIA lab
CLIA 13D2124589: Total Life Clinic PLLC
Burley, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2124589 belongs to Total Life Clinic PLLC in Burley, ID.
Certificate for Provider-Performed Microscopy Procedures, effective January 20, 2025, expires January 19, 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
- January 20, 2025
- Certificate expiration
- January 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 20, 2017
- 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
- 13D2124589
- Lab name
- Total Life Clinic PLLC
- Address
- 2311 Parke Ave Ste 6, Burley, ID 83318
- Phone
- (208) 878-6413
- Fax
- (208) 878-6417
Annual test volume the lab reported
- Waived tests
- 800
- Provider-performed microscopy tests
- 30
- Total
- 830
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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 Total Life Clinic PLLC in Burley?
13D2124589, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Total Life Clinic PLLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D2124589 expire?
The CMS file lists January 19, 2027 as the certificate expiration date; the certificate took effect January 20, 2025.