CLIA lab
CLIA 13D2210873: White Cross Pharmacy
Oldtown, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2210873 belongs to White Cross Pharmacy in Oldtown, ID.
Certificate of Waiver, effective January 25, 2025, expires January 24, 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
- January 25, 2025
- Certificate expiration
- January 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 2021
- 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
- 13D2210873
- Lab name
- White Cross Pharmacy
- Address
- 86 Tank Rd, Oldtown, ID 83822
- Phone
- (208) 457-7160
- Fax
- (208) 369-4553
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for White Cross Pharmacy in Oldtown?
13D2210873, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does White Cross Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2210873 expire?
The CMS file lists January 24, 2027 as the certificate expiration date; the certificate took effect January 25, 2025.