CLIA lab
CLIA 13D0520334: Family Practice Group, PA
Pocatello, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D0520334 belongs to Family Practice Group, PA in Pocatello, ID.
Certificate of Compliance, effective September 27, 2026, expires September 26, 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 Compliance
- Certificate effective
- September 27, 2026
- Certificate expiration
- September 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- 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
- 13D0520334
- Lab name
- Family Practice Group, PA
- Additional name
- DBA Intermountain Medical Clinic
- Address
- 1951 Bench Rd Suite B, Pocatello, ID 83201
- Phone
- (208) 238-1000
- Fax
- (208) 238-0009
Annual test volume the lab reported
- Waived tests
- 4,016
- Other nonwaived tests
- 985
- Total
- 5,001
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 Family Practice Group, PA in Pocatello?
13D0520334, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Practice Group, PA hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 13D0520334 expire?
The CMS file lists September 26, 2028 as the certificate expiration date; the certificate took effect September 27, 2026.