CLIA lab
CLIA 13D2317965: Bonner VA Clinic
Kootenai, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2317965 belongs to Bonner VA Clinic in Kootenai, ID.
Certificate of Waiver, effective February 4, 2025, expires February 3, 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
- February 4, 2025
- Certificate expiration
- February 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 4, 2025
- Facility type
- Ancillary test site
- 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
- 13D2317965
- Lab name
- Bonner VA Clinic
- Address
- 130 Mcghee Rd Ste 101, Kootenai, ID 83840
- Phone
- (208) 263-0450
Annual test volume the lab reported
- Waived tests
- 60
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 Bonner VA Clinic in Kootenai?
13D2317965, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bonner VA Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2317965 expire?
The CMS file lists February 3, 2027 as the certificate expiration date; the certificate took effect February 4, 2025.