CLIA lab
CLIA 13D1040809: Upper Valley Family Practice
Rexburg, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D1040809 belongs to Upper Valley Family Practice in Rexburg, ID.
Certificate for Provider-Performed Microscopy Procedures, effective May 18, 2025, expires May 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 18, 2025
- Certificate expiration
- May 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 18, 2005
- 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
- 13D1040809
- Lab name
- Upper Valley Family Practice
- Address
- 32 W 1st S, Rexburg, ID 83440
- Phone
- (208) 356-8883
- Fax
- (208) 656-0999
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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- Clinical Research Prime RexburgCertificate of Waiver, Other13D2233937
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- Complete Family CareCertificate of Waiver, Physician office13D2087556
- Cress Creek Counseling PLLCCertificate of Waiver, Other practitioner13D2313780
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Related
Questions
What is the CLIA number for Upper Valley Family Practice in Rexburg?
13D1040809, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Upper Valley Family Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D1040809 expire?
The CMS file lists May 17, 2027 as the certificate expiration date; the certificate took effect May 18, 2025.