CLIA lab
CLIA 13D2100443: Shoshone-Bannock Community Health Center
Fort Hall, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2100443 belongs to Shoshone-Bannock Community Health Center in Fort Hall, ID.
Certificate for Provider-Performed Microscopy Procedures, effective June 19, 2025, expires June 18, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 19, 2025
- Certificate expiration
- June 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 14, 2015
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 13D2100443
- Lab name
- Shoshone-Bannock Community Health Center
- Address
- Bldg 70 Navajo Dr, Fort Hall, ID 83203
- Phone
- (208) 478-3987
- Fax
- (208) 475-4040
Annual test volume the lab reported
- Waived tests
- 200
- Provider-performed microscopy tests
- 200
- Total
- 400
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 Shoshone-Bannock Community Health Center in Fort Hall?
13D2100443, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shoshone-Bannock Community Health Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D2100443 expire?
The CMS file lists June 18, 2027 as the certificate expiration date; the certificate took effect June 19, 2025.