CLIA lab

CLIA 13D1065502: Upper Valley ENT & Allergy

Rexburg, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 13D1065502 belongs to Upper Valley ENT & Allergy in Rexburg, ID.

Certificate of Waiver, effective March 2, 2025, expires March 1, 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
March 2, 2025
Certificate expiration
March 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 2, 2007
Facility type
Physician office
Ownership (control type)
Government, county
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
13D1065502
Lab name
Upper Valley ENT & Allergy
Address
256 N 2nd E, Rexburg, ID 83440
Phone
(208) 656-9646

Annual test volume the lab reported

Waived tests
460

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Rexburg, ID

Related

Questions

What is the CLIA number for Upper Valley ENT & Allergy in Rexburg?

13D1065502, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Upper Valley ENT & Allergy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 13D1065502 expire?

The CMS file lists March 1, 2027 as the certificate expiration date; the certificate took effect March 2, 2025.

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