CLIA lab
CLIA 13D2203962: Kohal Pharmacy Inc
Kellogg, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2203962 belongs to Kohal Pharmacy Inc in Kellogg, ID.
Certificate of Waiver, effective December 7, 2024, expires December 6, 2026.
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
- December 7, 2024
- Certificate expiration
- December 6, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 7, 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
- 13D2203962
- Lab name
- Kohal Pharmacy Inc
- Address
- 740 Mckinley Ave Bld B, Kellogg, ID 83837
- Phone
- (208) 786-9303
- Fax
- (208) 783-4302
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kellogg, ID
- Coeur D'Alene Primary CareCertificate of Waiver, Physician office13D2318659
- Heritage Health KelloggCertificate of Waiver, Federally qualified health center13D0679491
- Ip Kellogg 1Certificate of Waiver, Independent13D2321679
- Mountain Valley of CascadiaCertificate of Waiver, Skilled nursing or nursing facility13D0933598
- Shoshone Medical CenterCertificate of Compliance, Hospital13D0522232
- Silver Valley Family Practice PCCertificate of Waiver, Other practitioner13D2168509
Related
Questions
What is the CLIA number for Kohal Pharmacy Inc in Kellogg?
13D2203962, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kohal Pharmacy Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2203962 expire?
The CMS file lists December 6, 2026 as the certificate expiration date; the certificate took effect December 7, 2024.