CLIA lab
CLIA 13D2019667: Ridley's Pharmacy #8447
Rupert, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2019667 belongs to Ridley's Pharmacy #8447 in Rupert, ID.
Certificate of Waiver, effective February 3, 2025, expires February 2, 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 3, 2025
- Certificate expiration
- February 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 2011
- Facility type
- Pharmacy
- 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
- 13D2019667
- Lab name
- Ridley's Pharmacy #8447
- Address
- 310 Oneida St, Rupert, ID 83350
- Phone
- (208) 436-1200
- Fax
- (208) 436-6121
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rupert, ID
- Countryside Care & RehabCertificate of Waiver, Skilled nursing or nursing facility13D2190075
- Family Health Services RupertCertificate of Waiver, Federally qualified health center13D2264707
- Minidoka Medical Center RHCCertificate of Waiver, Physician office13D0922942
- Minidoka Memorial HospitalCertificate of Compliance, Hospital13D0701400
Related
Questions
What is the CLIA number for Ridley's Pharmacy #8447 in Rupert?
13D2019667, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ridley's Pharmacy #8447 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2019667 expire?
The CMS file lists February 2, 2027 as the certificate expiration date; the certificate took effect February 3, 2025.