CLIA lab
CLIA 13D2034366: Walgreen's #12503
Moscow, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2034366 belongs to Walgreen's #12503 in Moscow, ID.
Certificate of Waiver, effective December 17, 2024, expires December 16, 2026.
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
- December 17, 2024
- Certificate expiration
- December 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 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
- 13D2034366
- Lab name
- Walgreen's #12503
- Address
- 414 North Main Street, Moscow, ID 83843
- Phone
- (208) 305-8119
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Gritman Medical Center Inc DBACertificate of Accreditation, Physician office13D0938809
- Gritman Medical Center OncologyCertificate of Registration, Physician office13D2285747
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- 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 Walgreen's #12503 in Moscow?
13D2034366, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreen's #12503 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2034366 expire?
The CMS file lists December 16, 2026 as the certificate expiration date; the certificate took effect December 17, 2024.