CLIA lab
CLIA 13D2134030: Clifford Family Medicine
Chubbuck, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2134030 belongs to Clifford Family Medicine in Chubbuck, ID.
Certificate of Waiver, effective May 14, 2026, expires May 13, 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
- May 14, 2026
- Certificate expiration
- May 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 25, 2017
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 13D2134030
- Lab name
- Clifford Family Medicine
- Address
- 4742 Yellowstone Ave, Chubbuck, ID 83202
- Phone
- (208) 251-0316
- Fax
- (208) 576-6929
Annual test volume the lab reported
- Waived tests
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Grace at Chubbuck LLCCertificate of Waiver, Assisted living facility13D2194036
- Health West Chubbuck Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center13D2189591
- Henry's Fork Surgery CenterCertificate of Waiver, Ambulatory surgery center13D2334161
- Idaho Skin Institute of ChubbuckCertificate of Compliance, Physician office13D2000081
- Inclusive Care Clinic PharmacyCertificate of Waiver, Pharmacy13D2307153
- Just 4 Kids Urgent CareCertificate of Waiver, Other13D2221794
- Need-A-Nurse Medical Staffing LLCCertificate of Waiver, Physician office13D2074793
- Physicians Immediate Care CenterCertificate of Compliance, Physician office13D1096966
Related
Questions
What is the CLIA number for Clifford Family Medicine in Chubbuck?
13D2134030, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clifford Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2134030 expire?
The CMS file lists May 13, 2028 as the certificate expiration date; the certificate took effect May 14, 2026.