CLIA lab
CLIA 13D2133847: Black Canyon Medical Group
Emmett, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2133847 belongs to Black Canyon Medical Group in Emmett, ID.
Certificate of Waiver, effective July 20, 2025, expires July 19, 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 Waiver
- Certificate effective
- July 20, 2025
- Certificate expiration
- July 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 20, 2017
- 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
- 13D2133847
- Lab name
- Black Canyon Medical Group
- Address
- 426 Hwy 16, Emmett, ID 83617
- Phone
- (208) 365-2735
- Fax
- (208) 365-2737
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Emmett, ID
- Cottages Senior Living I LLCCertificate of Waiver, Assisted living facility13D2195126
- Emmett Eye CenterCertificate of Waiver, Physician office13D2145244
- Emmett Family Medicine & Direct Primary CareCertificate for Provider-Performed Microscopy Procedures, Community clinic13D2103854
- Emmett Family ServicesCertificate of Waiver, Other13D2344596
- Emmett of Cascadia LLCCertificate of Waiver, Skilled nursing or nursing facility13D0671101
- Emmett of Olympus LLCCertificate of Waiver, Assisted living facility13D2346812
- Gem Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office13D2227796
- Idaho Physical Medicine and RehabilitationCertificate of Waiver, Physician office13D2244089
- Integrity Mental HealthCertificate of Waiver, Physician office13D2349125
- Mountain Pine DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office13D2155360
Related
Questions
What is the CLIA number for Black Canyon Medical Group in Emmett?
13D2133847, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Black Canyon Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2133847 expire?
The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.