CLIA lab
CLIA 13D2283775: Interventional Pain Clinic-Gmc
Moscow, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2283775 belongs to Interventional Pain Clinic-Gmc in Moscow, ID.
Certificate of Waiver, effective June 13, 2025, expires June 12, 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
- June 13, 2025
- Certificate expiration
- June 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 2023
- Facility type
- Other practitioner
- Ownership (control type)
- Private
- 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
- 13D2283775
- Lab name
- Interventional Pain Clinic-Gmc
- Address
- 803 S Main St Ste 310, Moscow, ID 83843
- Phone
- (208) 883-2227
Annual test volume the lab reported
- Waived tests
- 825
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Interventional Pain Clinic-Gmc in Moscow?
13D2283775, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Interventional Pain Clinic-Gmc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2283775 expire?
The CMS file lists June 12, 2027 as the certificate expiration date; the certificate took effect June 13, 2025.