CLIA lab
CLIA 13D2178927: Idaho Modern Medicine
Pocatello, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2178927 belongs to Idaho Modern Medicine in Pocatello, ID.
Certificate of Waiver, effective February 11, 2026, expires February 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 11, 2026
- Certificate expiration
- February 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 11, 2020
- Facility type
- Physician office
- 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
- 13D2178927
- Lab name
- Idaho Modern Medicine
- Address
- 1000 Pocatello CR Rd Ste E10, Pocatello, ID 83201
- Phone
- (208) 648-4789
- Fax
- (208) 648-4790
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pocatello, ID
- 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 Idaho Modern Medicine in Pocatello?
13D2178927, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Idaho Modern Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2178927 expire?
The CMS file lists February 10, 2028 as the certificate expiration date; the certificate took effect February 11, 2026.