CLIA lab

CLIA 13D2133859: Idaho Medical Imaging

Pocatello, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 13D2133859 belongs to Idaho Medical Imaging in Pocatello, 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

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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
Ancillary test site
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
13D2133859
Lab name
Idaho Medical Imaging
Address
1151 Hospital Way Bldg B, Pocatello, ID 83201
Phone
(208) 239-1672
Fax
(208) 239-3721

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Pocatello, ID

Related

Questions

What is the CLIA number for Idaho Medical Imaging in Pocatello?

13D2133859, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Idaho Medical Imaging hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 13D2133859 expire?

The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.

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