CLIA lab
CLIA 13D2321679: Ip Kellogg 1
Kellogg, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2321679 belongs to Ip Kellogg 1 in Kellogg, ID.
Certificate of Waiver, effective April 8, 2025, expires April 7, 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
- April 8, 2025
- Certificate expiration
- April 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 8, 2025
- Facility type
- Independent
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 13D2321679
- Lab name
- Ip Kellogg 1
- Address
- 740 Mckinley Ave Ste Interpath, Kellogg, ID 83837
- Phone
- (541) 278-4730
- Fax
- (541) 276-4374
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kellogg, ID
- Coeur D'Alene Primary CareCertificate of Waiver, Physician office13D2318659
- Heritage Health KelloggCertificate of Waiver, Federally qualified health center13D0679491
- Kohal Pharmacy IncCertificate of Waiver, Pharmacy13D2203962
- Mountain Valley of CascadiaCertificate of Waiver, Skilled nursing or nursing facility13D0933598
- Shoshone Medical CenterCertificate of Compliance, Hospital13D0522232
- Silver Valley Family Practice PCCertificate of Waiver, Other practitioner13D2168509
Related
Questions
What is the CLIA number for Ip Kellogg 1 in Kellogg?
13D2321679, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ip Kellogg 1 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2321679 expire?
The CMS file lists April 7, 2027 as the certificate expiration date; the certificate took effect April 8, 2025.