CLIA lab
CLIA 13D2203970: Kohal Pharmacy Inc
Pinehurst, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2203970 belongs to Kohal Pharmacy Inc in Pinehurst, 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
- 13D2203970
- Lab name
- Kohal Pharmacy Inc
- Address
- 504 N Division St, Pinehurst, ID 83850
- Phone
- (208) 682-4015
- Fax
- (208) 682-3939
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 Pinehurst, ID
Related
Questions
What is the CLIA number for Kohal Pharmacy Inc in Pinehurst?
13D2203970, 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 13D2203970 expire?
The CMS file lists December 6, 2026 as the certificate expiration date; the certificate took effect December 7, 2024.