CLIA lab
CLIA 13D2287826: Moscow of Olympus LLC
Moscow, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2287826 belongs to Moscow of Olympus LLC in Moscow, ID.
Certificate of Waiver, effective August 17, 2025, expires August 16, 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
- August 17, 2025
- Certificate expiration
- August 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2023
- 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
- 13D2287826
- Lab name
- Moscow of Olympus LLC
- Address
- 640 N Eisenhower Street Alf, Moscow, ID 83843
- Phone
- (208) 882-6560
- Fax
- (208) 882-6569
Annual test volume the lab reported
- Waived tests
- 20,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Gritman Medical Center Inc DBACertificate of Accreditation, Physician office13D0938809
- Gritman Medical Center OncologyCertificate of Registration, Physician office13D2285747
- Gritman UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office13D2314057
- Hill House Assisted LivingCertificate of Waiver, Assisted living facility13D2270972
- Hodgins Drug Store Inc DBA Hodgins DrugCertificate of Waiver, Pharmacy13D2255504
Related
Questions
What is the CLIA number for Moscow of Olympus LLC in Moscow?
13D2287826, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Moscow of Olympus LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2287826 expire?
The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.