CLIA lab
CLIA 13D1036022: Sav-On Pharmacy #0165
Mountain Home, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D1036022 belongs to Sav-On Pharmacy #0165 in Mountain Home, ID.
Certificate of Waiver, effective January 18, 2025, expires January 17, 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
- January 18, 2025
- Certificate expiration
- January 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 18, 2005
- Facility type
- Pharmacy
- 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
- 13D1036022
- Lab name
- Sav-On Pharmacy #0165
- Address
- 528 N Main St, Mountain Home, ID 83647
- Phone
- (208) 587-3365
- Fax
- (208) 587-1545
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Idaho Physical Medicine and Rehabilitation PACertificate of Waiver, Physician office13D2165110
- Kieffer Chiropractic ClinicCertificate of Waiver, Physician office13D0717775
- Mountain Home CbocCertificate of Accreditation, Community clinic13D2021272
- Mountain Pine DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office13D2155363
- ST Luke's Clinic - Trinity MountainCertificate for Provider-Performed Microscopy Procedures, Physician office13D0922939
- ST Luke's Clinic Internal MedicineCertificate of Waiver, Community clinic13D2099371
- ST Luke's Elmore Long Term CareCertificate of Waiver, Skilled nursing or nursing facility13D2189985
Related
Questions
What is the CLIA number for Sav-On Pharmacy #0165 in Mountain Home?
13D1036022, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sav-On Pharmacy #0165 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D1036022 expire?
The CMS file lists January 17, 2027 as the certificate expiration date; the certificate took effect January 18, 2025.