CLIA lab
CLIA 13D2050494: Intermountain Medical Imaging
Eagle, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2050494 belongs to Intermountain Medical Imaging in Eagle, ID.
Certificate of Waiver, effective November 30, 2024, expires November 29, 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
- November 30, 2024
- Certificate expiration
- November 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 30, 2012
- Facility type
- Other
- 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
- 13D2050494
- Lab name
- Intermountain Medical Imaging
- Address
- 323 E Riverside Dr #108, Eagle, ID 83616
- Phone
- (208) 367-3340
- Fax
- (208) 367-5040
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Intermountain Medical Imaging in Eagle?
13D2050494, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Intermountain Medical Imaging hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2050494 expire?
The CMS file lists November 29, 2026 as the certificate expiration date; the certificate took effect November 30, 2024.