CLIA lab
CLIA 13D1043496: Island Park Medical Clinic
Island Park, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D1043496 belongs to Island Park Medical Clinic in Island Park, ID.
Certificate of Waiver, effective February 25, 2025, expires February 24, 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
- February 25, 2025
- Certificate expiration
- February 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 26, 2005
- Facility type
- Community clinic
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 13D1043496
- Lab name
- Island Park Medical Clinic
- Address
- 3765 Hwy 20 South, Island Park, ID 83429
- Phone
- (208) 558-7766
Annual test volume the lab reported
- Waived tests
- 740
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 Island Park Medical Clinic in Island Park?
13D1043496, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Island Park Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D1043496 expire?
The CMS file lists February 24, 2027 as the certificate expiration date; the certificate took effect February 25, 2025.