CLIA lab
CLIA 13D2118549: Family Practice By the Lake LLC
Coeur D'alene, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2118549 belongs to Family Practice By the Lake LLC in Coeur D'alene, ID.
Certificate of Waiver, effective September 9, 2026, expires September 8, 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
- September 9, 2026
- Certificate expiration
- September 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 9, 2016
- 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
- 13D2118549
- Lab name
- Family Practice By the Lake LLC
- Address
- 1875 N Lakewood Dr, Suite 205, Coeur D'alene, ID 83814
- Phone
- (208) 966-4087
- Fax
- (208) 966-4031
Annual test volume the lab reported
- Waived tests
- 100
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 Family Practice By the Lake LLC in Coeur D'alene?
13D2118549, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Practice By the Lake LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2118549 expire?
The CMS file lists September 8, 2028 as the certificate expiration date; the certificate took effect September 9, 2026.