CLIA lab
CLIA 13D2123428: Whitewater Healthcare LLC
Chubbuck, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2123428 belongs to Whitewater Healthcare LLC in Chubbuck, ID.
Certificate of Waiver, effective December 20, 2024, expires December 19, 2026.
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 20, 2024
- Certificate expiration
- December 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 20, 2016
- Facility type
- Hospice
- 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
- 13D2123428
- Lab name
- Whitewater Healthcare LLC
- Additional name
- DBA Symbii Hospice
- Address
- 240 W Burnside Ave Ste B, Chubbuck, ID 83202
- Phone
- (208) 637-2273
- Fax
- (208) 637-8867
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.
Care facility at this address
- Symbii HospiceCMS Care Compare ratings for the facility at the same street address
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- Health West Chubbuck Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center13D2189591
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- Idaho Skin Institute of ChubbuckCertificate of Compliance, Physician office13D2000081
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Related
Questions
What is the CLIA number for Whitewater Healthcare LLC in Chubbuck?
13D2123428, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Whitewater Healthcare LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2123428 expire?
The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.