CLIA lab

CLIA 13D0910691: Primary Health Medical Group - Caldwell

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

CLIA number 13D0910691 belongs to Primary Health Medical Group - Caldwell in Caldwell, ID.

Certificate for Provider-Performed Microscopy Procedures, effective September 9, 2025, expires September 8, 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 for Provider-Performed Microscopy Procedures
Certificate effective
September 9, 2025
Certificate expiration
September 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 17, 1996
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
13D0910691
Lab name
Primary Health Medical Group - Caldwell
Address
4815 Cleveland Blvd, Caldwell, ID 83605
Phone
(208) 455-3545
Fax
(208) 454-9690

Annual test volume the lab reported

Waived tests
3,000
Provider-performed microscopy tests
30
Total
3,030

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

Other labs in Caldwell, ID

Related

Questions

What is the CLIA number for Primary Health Medical Group - Caldwell in Caldwell?

13D0910691, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Primary Health Medical Group - Caldwell hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 13D0910691 expire?

The CMS file lists September 8, 2027 as the certificate expiration date; the certificate took effect September 9, 2025.

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