CLIA lab
CLIA 13D2109375: Bengal Laboratory at Idaho State
Pocatello, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2109375 belongs to Bengal Laboratory at Idaho State in Pocatello, ID.
Certificate of Waiver, effective December 5, 2025, expires December 4, 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 Waiver
- Certificate effective
- December 5, 2025
- Certificate expiration
- December 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 24, 2016
- Facility type
- Health fair
- Ownership (control type)
- Government, state
- 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
- 13D2109375
- Lab name
- Bengal Laboratory at Idaho State
- Address
- 921 S 8th Ave Stop 8299, Box 8158, Pocatello, ID 83202
- Phone
- (208) 251-6260
- Fax
- (208) 282-4190
Annual test volume the lab reported
- Waived tests
- 600
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 Bengal Laboratory at Idaho State in Pocatello?
13D2109375, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bengal Laboratory at Idaho State hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2109375 expire?
The CMS file lists December 4, 2027 as the certificate expiration date; the certificate took effect December 5, 2025.