CLIA lab
CLIA 13D0917175: Gritman Medical Center Potlatch Clinic
Potlatch, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D0917175 belongs to Gritman Medical Center Potlatch Clinic in Potlatch, ID.
Certificate of Waiver, effective April 2, 2025, expires April 1, 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
- April 2, 2025
- Certificate expiration
- April 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 11, 1996
- Facility type
- Rural health clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 13D0917175
- Lab name
- Gritman Medical Center Potlatch Clinic
- Address
- 156 6th St, Potlatch, ID 83855
- Phone
- (208) 289-3841
- Fax
- (208) 289-3961
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.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Gritman Medical Center Potlatch Clinic in Potlatch?
13D0917175, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gritman Medical Center Potlatch Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D0917175 expire?
The CMS file lists April 1, 2027 as the certificate expiration date; the certificate took effect April 2, 2025.