CLIA lab
CLIA 13D1101987: Moscow Dialysis Center
Moscow, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D1101987 belongs to Moscow Dialysis Center in Moscow, ID.
Certificate of Waiver, effective July 9, 2025, expires July 8, 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
- July 9, 2025
- Certificate expiration
- July 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 9, 2009
- Facility type
- End stage renal disease dialysis facility
- 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
- 13D1101987
- Lab name
- Moscow Dialysis Center
- Address
- 212 Rodeo Dr #110, Moscow, ID 83843
- Phone
- (208) 882-5925
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Gritman Medical CenterCertificate of Waiver, Rural health clinic13D0522285
- Gritman Medical CenterCertificate of Waiver, Rural health clinic13D0522286
- Gritman Medical CenterCertificate of Waiver, Rural health clinic13D2096999
- Gritman Medical Center Inc DBACertificate of Accreditation, Physician office13D0938809
- Gritman Medical Center OncologyCertificate of Registration, Physician office13D2285747
- Gritman UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office13D2314057
- Hill House Assisted LivingCertificate of Waiver, Assisted living facility13D2270972
- Hodgins Drug Store Inc DBA Hodgins DrugCertificate of Waiver, Pharmacy13D2255504
Related
Questions
What is the CLIA number for Moscow Dialysis Center in Moscow?
13D1101987, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Moscow Dialysis Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D1101987 expire?
The CMS file lists July 8, 2027 as the certificate expiration date; the certificate took effect July 9, 2025.