CLIA lab
CLIA 13D2196433: Brookdale Chubbuck
Chubbuck, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2196433 belongs to Brookdale Chubbuck in Chubbuck, ID.
Certificate of Waiver, effective September 18, 2025, expires September 17, 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
- September 18, 2025
- Certificate expiration
- September 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 16, 2020
- Facility type
- Assisted living facility
- 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
- 13D2196433
- Lab name
- Brookdale Chubbuck
- Address
- 4080 Hawthorne Rd, Chubbuck, ID 83202
- Phone
- (208) 648-4565
- Fax
- (208) 237-6005
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Chubbuck, ID
- Cardio Renal InstituteCertificate of Waiver, Other13D2269810
- Clifford Family MedicineCertificate of Waiver, Physician office13D2134030
- Grace at Chubbuck LLCCertificate of Waiver, Assisted living facility13D2194036
- Health West Chubbuck Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center13D2189591
- Henry's Fork Surgery CenterCertificate of Waiver, Ambulatory surgery center13D2334161
- Idaho Skin Institute of ChubbuckCertificate of Compliance, Physician office13D2000081
- Inclusive Care Clinic PharmacyCertificate of Waiver, Pharmacy13D2307153
- Just 4 Kids Urgent CareCertificate of Waiver, Other13D2221794
- Need-A-Nurse Medical Staffing LLCCertificate of Waiver, Physician office13D2074793
- Physicians Immediate Care CenterCertificate of Compliance, Physician office13D1096966
Related
Questions
What is the CLIA number for Brookdale Chubbuck in Chubbuck?
13D2196433, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brookdale Chubbuck hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2196433 expire?
The CMS file lists September 17, 2027 as the certificate expiration date; the certificate took effect September 18, 2025.