CLIA lab
CLIA 13D2183424: Jack's Pharmacy
St Maries, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2183424 belongs to Jack's Pharmacy in St Maries, ID.
Certificate of Waiver, effective May 5, 2026, expires May 4, 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 5, 2026
- Certificate expiration
- May 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 5, 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
- 13D2183424
- Lab name
- Jack's Pharmacy
- Address
- 103 E College Ave, St Maries, ID 83861
- Phone
- (208) 245-4578
- Fax
- (208) 245-5004
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in St Maries, ID
- Heritage Health Addiction Services ST MariesCertificate of Waiver, Federally qualified health center13D2276425
- Northwest Specialty HospitalCertificate of Waiver, Community clinic13D2266353
- ST Maries Family MedicineCertificate of Waiver, Rural health clinic13D2279674
- ST Maries Family Medicine SM Quick CareCertificate of Waiver, Rural health clinic13D2314001
- Tamarack Counseling Services PLLCCertificate of Waiver, Other13D2348895
- Valley Vista Cottage CareCertificate of Waiver, Assisted living facility13D2243553
Related
Questions
What is the CLIA number for Jack's Pharmacy in St Maries?
13D2183424, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jack's Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2183424 expire?
The CMS file lists May 4, 2028 as the certificate expiration date; the certificate took effect May 5, 2026.