CLIA lab

CLIA 13D2249108: Primary Health Medical Group-Administration

Garden City, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 13D2249108 belongs to Primary Health Medical Group-Administration in Garden City, ID.

Certificate of Waiver, effective January 19, 2026, expires January 18, 2028.

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 19, 2026
Certificate expiration
January 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 19, 2022
Facility type
Health maintenance organization
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
13D2249108
Lab name
Primary Health Medical Group-Administration
Address
10482 W Carlton Bay Dr, Garden City, ID 83714
Phone
(208) 955-6500
Fax
(208) 955-6514

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.

Other labs in Garden City, ID

Related

Questions

What is the CLIA number for Primary Health Medical Group-Administration in Garden City?

13D2249108, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Primary Health Medical Group-Administration hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 13D2249108 expire?

The CMS file lists January 18, 2028 as the certificate expiration date; the certificate took effect January 19, 2026.

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