CLIA lab
CLIA 13D0960181: Ketchum Family Medicine
Ketchum, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D0960181 belongs to Ketchum Family Medicine in Ketchum, ID.
Certificate of Waiver, effective September 5, 2026, expires September 4, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 5, 2026
- Certificate expiration
- September 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 1999
- Facility type
- Other practitioner
- 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
- 13D0960181
- Lab name
- Ketchum Family Medicine
- Address
- 431 Walnut Ave N, Ketchum, ID 83340
- Phone
- (208) 622-3180
- Fax
- (208) 622-3190
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Ketchum Family Medicine in Ketchum?
13D0960181, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ketchum Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D0960181 expire?
The CMS file lists September 4, 2028 as the certificate expiration date; the certificate took effect September 5, 2026.