CLIA lab
CLIA 13D2164287: Pain & Spine Specialist of Idaho
Blackfoot, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2164287 belongs to Pain & Spine Specialist of Idaho in Blackfoot, ID.
Certificate of Waiver, effective April 2, 2025, expires April 1, 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
- April 2, 2025
- Certificate expiration
- April 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 2, 2019
- Facility type
- Community clinic
- 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
- 13D2164287
- Lab name
- Pain & Spine Specialist of Idaho
- Address
- 1425 Parkway Dr, Blackfoot, ID 83221
- Phone
- (208) 785-7246
- Fax
- (208) 529-2620
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Blackfoot, ID
- 1st Choice Urgent CareCertificate of Waiver, Rural health clinic13D1099999
- Advanced Eyecare of BlackfootCertificate of Waiver, Physician office13D2289888
- Bingham County JailCertificate of Waiver, Other13D2084993
- Bingham Memorial HospitalCertificate of Registration, Hospital13D0056444
- Blackfoot Medical CenterCertificate of Compliance, Rural health clinic13D0673165
- Community Family ClinicCertificate of Waiver, Federally qualified health center13D2243141
- Elite Clinical TrialsCertificate for Provider-Performed Microscopy Procedures, Other13D2046947
- Grove Creek Medical CenterCertificate of Waiver, Ambulatory surgery center13D1043303
- Idaho Kidney CenterCertificate of Waiver, End stage renal disease dialysis facility13D1059334
- Idaho Physicians ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office13D0994767
Related
Questions
What is the CLIA number for Pain & Spine Specialist of Idaho in Blackfoot?
13D2164287, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pain & Spine Specialist of Idaho hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2164287 expire?
The CMS file lists April 1, 2027 as the certificate expiration date; the certificate took effect April 2, 2025.