CLIA lab
CLIA 13D2102630: Latah Community Health
Moscow, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2102630 belongs to Latah Community Health in Moscow, ID.
Certificate of Waiver, effective May 1, 2026, expires April 30, 2028.
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
- May 1, 2026
- Certificate expiration
- April 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 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
- 13D2102630
- Lab name
- Latah Community Health
- Address
- 803 S Main St Ste 120, Moscow, ID 83843
- Phone
- (509) 444-8888
- Fax
- (509) 444-7806
Annual test volume the lab reported
- Waived tests
- 4,000
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 Latah Community Health in Moscow?
13D2102630, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Latah Community Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2102630 expire?
The CMS file lists April 30, 2028 as the certificate expiration date; the certificate took effect May 1, 2026.