CLIA lab

CLIA 13D2328385: Momentum Medical Group of Idaho LLC

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

CLIA number 13D2328385 belongs to Momentum Medical Group of Idaho LLC in Eagle, ID.

Certificate of Waiver, effective August 8, 2025, expires August 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
August 8, 2025
Certificate expiration
August 7, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 8, 2025
Facility type
Physician office
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
13D2328385
Lab name
Momentum Medical Group of Idaho LLC
Address
1281 E Iron Eagle Dr, Eagle, ID 83616
Phone
(208) 855-0880
Fax
(208) 616-1004

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.

Other labs in Eagle, ID

Related

Questions

What is the CLIA number for Momentum Medical Group of Idaho LLC in Eagle?

13D2328385, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Momentum Medical Group of Idaho LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 13D2328385 expire?

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

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