CLIA lab
CLIA 13D2100790: Grand Peaks Medical
Rexburg, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2100790 belongs to Grand Peaks Medical in Rexburg, ID.
Certificate of Compliance, effective August 8, 2025, expires August 7, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- August 8, 2025
- Certificate expiration
- August 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 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
- 13D2100790
- Lab name
- Grand Peaks Medical
- Address
- 72 S 1st E, Rexburg, ID 83440
- Phone
- (208) 356-4900
- Fax
- (208) 356-3724
Annual test volume the lab reported
- Waived tests
- 3,600
- Other nonwaived tests
- 3,459
- Total
- 7,059
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rexburg, ID
- Alpine Dermatology ClinicCertificate of Compliance, Physician office13D1096028
- Biomat USA IncCertificate of Accreditation, Other13D0922940
- Biomat USA IncCertificate of Accreditation, Other13D2149953
- 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
- Elite Clinical Trials LllpCertificate of Waiver, Other13D2185451
Related
Questions
What is the CLIA number for Grand Peaks Medical in Rexburg?
13D2100790, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Peaks Medical hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 13D2100790 expire?
The CMS file lists August 7, 2027 as the certificate expiration date; the certificate took effect August 8, 2025.