CLIA lab
CLIA 13D2192417: North Canyon Jerome Clinic
Jerome, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2192417 belongs to North Canyon Jerome Clinic in Jerome, ID.
Certificate of Waiver, effective August 23, 2025, expires August 22, 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
- August 23, 2025
- Certificate expiration
- August 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 10, 2020
- Facility type
- Rural health clinic
- Ownership (control type)
- Private
- 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
- 13D2192417
- Lab name
- North Canyon Jerome Clinic
- Address
- 491 Heritage Dr, Jerome, ID 83338
- Phone
- (208) 934-4463
- Fax
- (208) 934-8306
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jerome, ID
- Family Health ServicesCertificate of Waiver, Federally qualified health center13D2278207
- Family Health Services JeromeCertificate of Waiver, Federally qualified health center13D2264702
- Ip Jerome 1Certificate of Waiver, Independent13D2329606
- Jerome DrugCertificate of Waiver, Pharmacy13D2314821
- Medcor Clinic at True WestCertificate of Waiver, Industrial13D2269817
- Moonlight Mountain RecoveryCertificate of Waiver, Other13D2257874
- Readings Community PharmacyCertificate of Waiver, Independent13D0958067
- Ridley's Pharmacy #8443Certificate of Waiver, Pharmacy13D2019655
- ST Luke's Clinic Jerome Family MedicineCertificate for Provider-Performed Microscopy Procedures, Community clinic13D2172039
- ST Luke's Clinic-Occupational HealthCertificate of Waiver, Community clinic13D2173899
Related
Questions
What is the CLIA number for North Canyon Jerome Clinic in Jerome?
13D2192417, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does North Canyon Jerome Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2192417 expire?
The CMS file lists August 22, 2027 as the certificate expiration date; the certificate took effect August 23, 2025.