CLIA lab

CLIA 13D0520769: Family Health Services Shoshone

Shoshone, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 13D0520769 belongs to Family Health Services Shoshone in Shoshone, ID.

Certificate of Waiver, effective August 1, 2026, expires July 31, 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
August 1, 2026
Certificate expiration
July 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 24, 1993
Facility type
Federally qualified health center
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
12

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
13D0520769
Lab name
Family Health Services Shoshone
Address
651 S Beverly St, Shoshone, ID 83352
Phone
(208) 886-2224
Fax
(208) 886-2634

Annual test volume the lab reported

Waived tests
10,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Shoshone, ID

Related

Questions

What is the CLIA number for Family Health Services Shoshone in Shoshone?

13D0520769, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Health Services Shoshone hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 13D0520769 expire?

The CMS file lists July 31, 2028 as the certificate expiration date; the certificate took effect August 1, 2026.

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