CLIA lab
CLIA 13D2287753: Idaho Youth Ranch Residential Center
Caldwell, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2287753 belongs to Idaho Youth Ranch Residential Center in Caldwell, ID.
Certificate of Waiver, effective August 17, 2025, expires August 16, 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
- August 17, 2025
- Certificate expiration
- August 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2023
- Facility type
- Other practitioner
- Ownership (control type)
- Private
- 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
- 13D2287753
- Lab name
- Idaho Youth Ranch Residential Center
- Additional name
- For Healing and Resilience
- Address
- 28371 El Paso Rd, Caldwell, ID 83607
- Phone
- (208) 996-2896
- Fax
- (208) 672-0324
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.
Other labs in Caldwell, ID
- Autumn Wind Assisted LivingCertificate of Waiver, Assisted living facility13D2008654
- Caldwell Care of CascadiaCertificate of Waiver, Skilled nursing or nursing facility13D0704508
- Caldwell CbocCertificate of Accreditation, Community clinic13D1065097
- Caldwell Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility13D1092943
- Caldwell Immediate CareCertificate of Waiver, Physician office13D2101043
- Caldwell Recovery CenterCertificate of Waiver, Other13D2345359
- Canyon County Ambulance DistrictCertificate of Waiver, Ambulance13D1098212
- Canyon County Sheriff's OfficeCertificate of Waiver, Other13D2250086
- Canyon West of CascadiaCertificate of Waiver, Skilled nursing or nursing facility13D0861690
- College of Idaho Athletic Training Room, theCertificate of Waiver, Other13D2197306
Related
Questions
What is the CLIA number for Idaho Youth Ranch Residential Center in Caldwell?
13D2287753, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Idaho Youth Ranch Residential Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2287753 expire?
The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.