CLIA lab
CLIA 13D0879418: Moscow Pullman Ob/Gyn
Moscow, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D0879418 belongs to Moscow Pullman Ob/Gyn in Moscow, ID.
Certificate for Provider-Performed Microscopy Procedures, effective March 29, 2026, expires March 28, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 29, 2026
- Certificate expiration
- March 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 19, 1993
- 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
- 13D0879418
- Lab name
- Moscow Pullman Ob/Gyn
- Address
- 623 S Main St #5, Moscow, ID 83843
- Phone
- (208) 883-0813
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Moscow, ID
- Fresenius Medical Care PalouseCertificate of Waiver, Blood bank13D1101985
- Gritman Medical CenterCertificate of Accreditation, Hospital13D0056686
- Gritman Medical CenterCertificate of Waiver, Rural health clinic13D0522285
- Gritman Medical CenterCertificate of Waiver, Rural health clinic13D0522286
- Gritman Medical CenterCertificate of Waiver, Rural health clinic13D2096999
- Gritman Medical Center Inc DBACertificate of Accreditation, Physician office13D0938809
- Gritman Medical Center OncologyCertificate of Registration, Physician office13D2285747
- Gritman UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office13D2314057
- Hill House Assisted LivingCertificate of Waiver, Assisted living facility13D2270972
- Hodgins Drug Store Inc DBA Hodgins DrugCertificate of Waiver, Pharmacy13D2255504
Related
Questions
What is the CLIA number for Moscow Pullman Ob/Gyn in Moscow?
13D0879418, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Moscow Pullman Ob/Gyn hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D0879418 expire?
The CMS file lists March 28, 2028 as the certificate expiration date; the certificate took effect March 29, 2026.