CLIA lab
CLIA 13D2204157: Brookdale Pocatello
Pocatello, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2204157 belongs to Brookdale Pocatello in Pocatello, ID.
Certificate of Waiver, effective December 8, 2024, expires December 7, 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 8, 2024
- Certificate expiration
- December 7, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 8, 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
- 13D2204157
- Lab name
- Brookdale Pocatello
- Address
- 1501 Baldy Avenue, Pocatello, ID 83201
- Phone
- (208) 237-6866
- Fax
- (208) 237-3889
Annual test volume the lab reported
- Waived tests
- 5,475
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bengal Laboratory at Idaho StateCertificate of Waiver, Health fair13D2109375
- Bingham HealthcareCertificate for Provider-Performed Microscopy Procedures, Physician office13D2237548
- Bingham Healthcare Specialty Clinic-BannockCertificate of Waiver, Community clinic13D2072091
- Biomat USA Inc - PocatelloCertificate of Accreditation, Other13D0934340
Related
Questions
What is the CLIA number for Brookdale Pocatello in Pocatello?
13D2204157, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brookdale Pocatello hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2204157 expire?
The CMS file lists December 7, 2026 as the certificate expiration date; the certificate took effect December 8, 2024.