CLIA lab
CLIA 13D2164290: Pain & Spine Specialist of Idaho
Pocatello, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2164290 belongs to Pain & Spine Specialist of Idaho in Pocatello, 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
- 13D2164290
- Lab name
- Pain & Spine Specialist of Idaho
- Address
- 150 Vista Dr, Pocatello, ID 83201
- Phone
- (208) 232-7246
- Fax
- (208) 529-2620
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 1st Choice UC & Medical Center ChubbuckCertificate of Waiver, Comprehensive outpatient rehab facility13D2305278
- Alameda Vision CenterCertificate of Waiver, Physician office13D2067990
- Arthritis Specialty CenterCertificate of Compliance, Physician office13D2027091
- Bannock County AmbulanceCertificate of Waiver, Other13D0700359
- Bannock County Detention Center-MedicalCertificate of Waiver, Prison13D1101252
- Bannock County SheriffCertificate of Waiver, Other13D2212418
- Bengal Laboratory at Idaho StateCertificate of Waiver, Health fair13D2109375
- Bingham HealthcareCertificate for Provider-Performed Microscopy Procedures, Physician office13D2237548
- Bingham Healthcare Specialty Clinic-BannockCertificate of Waiver, Community clinic13D2072091
- Biomat USA Inc - PocatelloCertificate of Accreditation, Other13D0934340
Related
Questions
What is the CLIA number for Pain & Spine Specialist of Idaho in Pocatello?
13D2164290, 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 13D2164290 expire?
The CMS file lists April 1, 2027 as the certificate expiration date; the certificate took effect April 2, 2025.