CLIA lab
CLIA 13D0969818: Idaho Falls Pediatrics
Ammon, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D0969818 belongs to Idaho Falls Pediatrics in Ammon, ID.
Certificate of Waiver, effective March 10, 2026, expires March 9, 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
- March 10, 2026
- Certificate expiration
- March 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 2000
- 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
- 13D0969818
- Lab name
- Idaho Falls Pediatrics
- Address
- 3067 Eagle Dr, Ammon, ID 83406
- Phone
- (208) 522-4600
- Fax
- (208) 552-7521
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.
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- Greater Good Health PC, IncCertificate of Waiver, Community clinic13D2331713
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- Rehabilitative Health ServicesCertificate of Compliance, Physician office13D2032859
Related
Questions
What is the CLIA number for Idaho Falls Pediatrics in Ammon?
13D0969818, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Idaho Falls Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D0969818 expire?
The CMS file lists March 9, 2028 as the certificate expiration date; the certificate took effect March 10, 2026.