CLIA lab
CLIA 13D2331366: Henry's Fork Surgery Center
Idaho Falls, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2331366 belongs to Henry's Fork Surgery Center in Idaho Falls, ID.
Certificate of Waiver, effective September 30, 2025, expires September 29, 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
- September 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2025
- 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
- 13D2331366
- Lab name
- Henry's Fork Surgery Center
- Address
- 3925 Washington Parkway, Idaho Falls, ID 83404
- Phone
- (208) 504-3739
- Fax
- (208) 203-9246
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Alliance Home Health CareCertificate of Waiver, Home health agency13D2126133
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- Alpine Dermatology Clinic PCCertificate of Compliance, Physician office13D2068472
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Related
Questions
What is the CLIA number for Henry's Fork Surgery Center in Idaho Falls?
13D2331366, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Henry's Fork Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2331366 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.