CLIA lab

CLIA 13D2321695: Ip Rathdrum 1

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

CLIA number 13D2321695 belongs to Ip Rathdrum 1 in Rathdrum, 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
13D2321695
Lab name
Ip Rathdrum 1
Address
16760 N Highway 41 Ste Interpath, Rathdrum, ID 83858
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 Rathdrum, ID

Related

Questions

What is the CLIA number for Ip Rathdrum 1 in Rathdrum?

13D2321695, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ip Rathdrum 1 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 13D2321695 expire?

The CMS file lists April 7, 2027 as the certificate expiration date; the certificate took effect April 8, 2025.

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