CLIA lab
CLIA 13D2195026: Edgewood Spring Creek Ustick LLC
Meridian, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2195026 belongs to Edgewood Spring Creek Ustick LLC in Meridian, ID.
Certificate of Waiver, effective October 6, 2026, expires October 5, 2028.
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
- October 6, 2026
- Certificate expiration
- October 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 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
- 13D2195026
- Lab name
- Edgewood Spring Creek Ustick LLC
- Address
- 3165 N Meridian Rd, Meridian, ID 83646
- Phone
- (208) 287-2064
- Fax
- (208) 287-2065
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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- Ada West DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office13D2178556
- Ada West DermatologyCertificate of Waiver, Physician office13D2332626
- Ada West Dermatopathology LabCertificate of Accreditation, Other13D2047540
- Add Clinic of IdahoCertificate of Waiver, Independent13D2284741
- Aesthetic Physicians PC DBA Sono BelloCertificate of Waiver, Physician office13D2276254
- Ageless Men's HealthCertificate of Waiver, Other13D2180351
Related
Questions
What is the CLIA number for Edgewood Spring Creek Ustick LLC in Meridian?
13D2195026, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Edgewood Spring Creek Ustick LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2195026 expire?
The CMS file lists October 5, 2028 as the certificate expiration date; the certificate took effect October 6, 2026.