CLIA lab
CLIA 13D1101252: Bannock County Detention Center-Medical
Pocatello, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D1101252 belongs to Bannock County Detention Center-Medical in Pocatello, ID.
Certificate of Waiver, effective June 23, 2025, expires June 22, 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
- June 23, 2025
- Certificate expiration
- June 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 23, 2009
- Facility type
- Prison
- 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
- 13D1101252
- Lab name
- Bannock County Detention Center-Medical
- Address
- 5800 S 5th Ave, Pocatello, ID 83204
- Phone
- (208) 236-6504
- Fax
- (208) 236-7159
Annual test volume the lab reported
- Waived tests
- 840
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bannock County AmbulanceCertificate of Waiver, Other13D0700359
- Bannock County SheriffCertificate of Waiver, Other13D2212418
- Bengal Laboratory at Idaho StateCertificate of Waiver, Health fair13D2109375
- Bingham HealthcareCertificate for Provider-Performed Microscopy Procedures, Physician office13D2237548
- Bingham Healthcare Specialty Clinic-BannockCertificate of Waiver, Community clinic13D2072091
- Biomat USA Inc - PocatelloCertificate of Accreditation, Other13D0934340
- Brizzee Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office13D2011099
Related
Questions
What is the CLIA number for Bannock County Detention Center-Medical in Pocatello?
13D1101252, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bannock County Detention Center-Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D1101252 expire?
The CMS file lists June 22, 2027 as the certificate expiration date; the certificate took effect June 23, 2025.