CLIA lab
CLIA 13D2126611: Upper Valley Surgery Center PLLC
Rexburg, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2126611 belongs to Upper Valley Surgery Center PLLC in Rexburg, ID.
Certificate of Waiver, effective March 1, 2025, expires February 28, 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
- March 1, 2025
- Certificate expiration
- February 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 1, 2017
- Facility type
- Ambulatory surgery center
- 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
- 13D2126611
- Lab name
- Upper Valley Surgery Center PLLC
- Address
- 256 N 2nd E #1, Rexburg, ID 83440
- Phone
- (208) 659-9646
- Fax
- (208) 656-9645
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Byu - Idaho Student Health CenterCertificate of Compliance, School or student health service13D0056537
- Clinical Research Prime RexburgCertificate of Waiver, Other13D2233937
- Community Care RexburgCertificate of Compliance, Rural health clinic13D0962844
- Complete Family CareCertificate of Waiver, Physician office13D2087556
- Cress Creek Counseling PLLCCertificate of Waiver, Other practitioner13D2313780
- Elite Clinical Trials LllpCertificate of Waiver, Other13D2185451
Related
Questions
What is the CLIA number for Upper Valley Surgery Center PLLC in Rexburg?
13D2126611, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Upper Valley Surgery Center PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2126611 expire?
The CMS file lists February 28, 2027 as the certificate expiration date; the certificate took effect March 1, 2025.