CLIA lab
CLIA 13D2074775: Fall River Family Medicine
Rexburg, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2074775 belongs to Fall River Family Medicine in Rexburg, ID.
Certificate of Compliance, effective March 18, 2025, expires March 17, 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 Compliance
- Certificate effective
- March 18, 2025
- Certificate expiration
- March 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 2014
- Facility type
- Physician office
- 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
- 13D2074775
- Lab name
- Fall River Family Medicine
- Address
- 21 Winn Dr, Rexburg, ID 83440
- Phone
- (208) 881-5222
- Fax
- (877) 441-4715
Annual test volume the lab reported
- Waived tests
- 20,000
- Other nonwaived tests
- 25,000
- Total
- 45,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Broulims Pharmacy #6Certificate of Waiver, Pharmacy13D2136415
- Byu - Idaho Student Health CenterCertificate of Compliance, School or student health service13D0056537
- Clinical Research Prime RexburgCertificate of Waiver, Other13D2233937
- Community Care RexburgCertificate of Compliance, Rural health clinic13D0962844
- Complete Family CareCertificate of Waiver, Physician office13D2087556
- Cress Creek Counseling PLLCCertificate of Waiver, Other practitioner13D2313780
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Related
Questions
What is the CLIA number for Fall River Family Medicine in Rexburg?
13D2074775, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fall River Family Medicine hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 13D2074775 expire?
The CMS file lists March 17, 2027 as the certificate expiration date; the certificate took effect March 18, 2025.