CLIA lab
CLIA 13D1054858: Eagle Family Medicine
Eagle, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D1054858 belongs to Eagle Family Medicine in Eagle, ID.
Certificate for Provider-Performed Microscopy Procedures, effective June 1, 2026, expires May 31, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 1, 2026
- Certificate expiration
- May 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 1, 2006
- 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
- 13D1054858
- Lab name
- Eagle Family Medicine
- Address
- 323 R Riverside Dr Ste 136, Eagle, ID 83616
- Phone
- (208) 939-3197
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 2
- Total
- 102
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 Eagle Family Medicine in Eagle?
13D1054858, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eagle Family Medicine hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D1054858 expire?
The CMS file lists May 31, 2028 as the certificate expiration date; the certificate took effect June 1, 2026.