CLIA lab
CLIA 13D2140230: Broulims Pharmacy #2
Montpelier, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2140230 belongs to Broulims Pharmacy #2 in Montpelier, ID.
Certificate of Waiver, effective November 16, 2025, expires November 15, 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
- November 16, 2025
- Certificate expiration
- November 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 16, 2017
- Facility type
- Pharmacy
- 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
- 13D2140230
- Lab name
- Broulims Pharmacy #2
- Address
- 130 South 4th St, Montpelier, ID 83254
- Phone
- (208) 745-0267
- Fax
- (208) 745-0208
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Montpelier, ID
- Bear Lake Drug LLCCertificate of Waiver, Pharmacy13D2140172
- Bear Lake Family Care and Ob/GynCertificate of Waiver, Rural health clinic13D2299635
- Bear Lake Internal MedicineCertificate for Provider-Performed Microscopy Procedures, Rural health clinic13D0890013
- Bear Lake Memorial HospitalCertificate of Compliance, Hospital13D0520463
- Bear Lake Memorial Skilled Nursing FacilityCertificate of Waiver, Skilled nursing or nursing facility13D2189394
- Health West MontpelierCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center13D2101360
Related
Questions
What is the CLIA number for Broulims Pharmacy #2 in Montpelier?
13D2140230, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Broulims Pharmacy #2 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2140230 expire?
The CMS file lists November 15, 2027 as the certificate expiration date; the certificate took effect November 16, 2025.