CLIA lab
CLIA 13D0701052: Idaho Department of Juvenile
Saint Anthony, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D0701052 belongs to Idaho Department of Juvenile in Saint Anthony, ID.
Certificate of Waiver, effective September 1, 2026, expires August 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 23, 1992
- Facility type
- Prison
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 13D0701052
- Lab name
- Idaho Department of Juvenile
- Additional name
- Corrections - ST Anthony
- Address
- 2220 E 600 N, Saint Anthony, ID 83445
- Phone
- (208) 624-2120
- Fax
- (208) 624-3198
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Saint Anthony, ID
- Broulim's Pharmacy #5Certificate of Waiver, Pharmacy13D2167279
- Fremont Medical CenterCertificate of Waiver, Other practitioner13D2269824
- Saint Anthony Work CampCertificate of Waiver, Prison13D1005993
- Summit EyecareCertificate of Waiver, Physician office13D2121372
- Upper Valley Community Health ServicesCertificate of Compliance, Federally qualified health center13D1077351
Related
Questions
What is the CLIA number for Idaho Department of Juvenile in Saint Anthony?
13D0701052, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Idaho Department of Juvenile hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D0701052 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.