CLIA lab
CLIA 13D2194174: Desano Place Inc
Shoshone, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2194174 belongs to Desano Place Inc in Shoshone, ID.
Certificate of Waiver, effective September 29, 2024, expiration date September 28, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- September 29, 2024
- Certificate expiration
- September 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2020
- Facility type
- Assisted living facility
- 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
- 13D2194174
- Lab name
- Desano Place Inc
- Address
- 50 West 620 North, Shoshone, ID 83352
- Phone
- (208) 420-2599
- Fax
- (208) 886-2737
Annual test volume the lab reported
- Waived tests
- 1,500
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 Desano Place Inc in Shoshone?
13D2194174, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Desano Place Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2194174 expire?
The CMS file lists September 28, 2026 as the certificate expiration date; the certificate took effect September 29, 2024.