CLIA lab
CLIA 13D2334161: Henry's Fork Surgery Center
Chubbuck, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2334161 belongs to Henry's Fork Surgery Center in Chubbuck, ID.
Certificate of Waiver, effective November 17, 2025, expires November 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
- November 17, 2025
- Certificate expiration
- November 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 17, 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
- 13D2334161
- Lab name
- Henry's Fork Surgery Center
- Address
- 5640 Harvest Springs Blvd, Chubbuck, ID 83202
- Phone
- (208) 217-9224
- Fax
- (208) 203-9846
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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- Grace at Chubbuck LLCCertificate of Waiver, Assisted living facility13D2194036
- Health West Chubbuck Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center13D2189591
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Related
Questions
What is the CLIA number for Henry's Fork Surgery Center in Chubbuck?
13D2334161, 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 13D2334161 expire?
The CMS file lists November 16, 2027 as the certificate expiration date; the certificate took effect November 17, 2025.