CLIA lab
CLIA 13D0860771: Shoshone Bannock Tribal Health and Human Services
Fort Hall, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D0860771 belongs to Shoshone Bannock Tribal Health and Human Services in Fort Hall, ID.
Certificate of Waiver, effective February 26, 2025, expires February 25, 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
- February 26, 2025
- Certificate expiration
- February 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 1993
- Facility type
- Other practitioner
- Ownership (control type)
- Government, federal
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 13D0860771
- Lab name
- Shoshone Bannock Tribal Health and Human Services
- Address
- Wic/mch/phn, 33 Mission Rd, Fort Hall, ID 83203
- Phone
- (208) 238-5435
- Fax
- (208) 238-5440
Annual test volume the lab reported
- Waived tests
- 260
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fort Hall, ID
- Fort Hall Indian Health ServiceCertificate of Accreditation, Community clinic13D0669185
- Not Tsoo Gah Nee Indian Health ClinicCertificate of Waiver, Physician office13D1056783
- Shoshone-Bannock Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center13D2100443
Related
Questions
What is the CLIA number for Shoshone Bannock Tribal Health and Human Services in Fort Hall?
13D0860771, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shoshone Bannock Tribal Health and Human Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D0860771 expire?
The CMS file lists February 25, 2027 as the certificate expiration date; the certificate took effect February 26, 2025.