CLIA lab
CLIA 13D2149772: Idaho State University Bengal Pharmacy
Pocatello, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2149772 belongs to Idaho State University Bengal Pharmacy in Pocatello, ID.
Certificate of Waiver, effective June 11, 2026, expires June 10, 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
- June 11, 2026
- Certificate expiration
- June 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 11, 2018
- Facility type
- Pharmacy
- Ownership (control type)
- Government, state
- 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
- 13D2149772
- Lab name
- Idaho State University Bengal Pharmacy
- Address
- 990 South 8th Avenue, Pocatello, ID 83209
- Phone
- (208) 282-3407
- Fax
- (208) 282-6150
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.
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- Biomat USA Inc - PocatelloCertificate of Accreditation, Other13D0934340
Related
Questions
What is the CLIA number for Idaho State University Bengal Pharmacy in Pocatello?
13D2149772, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Idaho State University Bengal Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2149772 expire?
The CMS file lists June 10, 2028 as the certificate expiration date; the certificate took effect June 11, 2026.