CLIA lab
CLIA 13D2183315: Custom RX Pharmacy
Kuna, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2183315 belongs to Custom RX Pharmacy in Kuna, ID.
Certificate of Waiver, effective May 4, 2026, expires May 3, 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
- May 4, 2026
- Certificate expiration
- May 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 4, 2020
- 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
- 13D2183315
- Lab name
- Custom RX Pharmacy
- Address
- 173 W 4th Street, Kuna, ID 83634
- Phone
- (208) 922-4400
- Fax
- (208) 922-4499
Annual test volume the lab reported
- Waived tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kuna, ID
- Advanced Family MedicineCertificate of Waiver, Physician office13D1027123
- Family Medicine Health Center - KunaCertificate of Waiver, Community clinic13D0895832
- Idaho Maximum Security InstitutionCertificate of Waiver, Prison13D0965621
- Idaho State Correctional CenterCertificate of Waiver, Prison13D0978765
- Idaho State Correctional InstituteCertificate of Waiver, Prison13D0663831
- Ip Kuna 1Certificate of Waiver, Independent13D2072455
- Moonlight Mountain RecoveryCertificate of Waiver, Other13D2257866
- Mountain View Transformation CenterCertificate of Waiver, Prison13D2009604
- Primary Health Medical Group-KunaCertificate for Provider-Performed Microscopy Procedures, Physician office13D2191977
- Ridley's Pharmacy #8448Certificate of Waiver, Pharmacy13D2076339
Related
Questions
What is the CLIA number for Custom RX Pharmacy in Kuna?
13D2183315, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Custom RX Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2183315 expire?
The CMS file lists May 3, 2028 as the certificate expiration date; the certificate took effect May 4, 2026.