CLIA lab
CLIA 13D2328975: Revival Wellness Clinic
Sandpoint, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2328975 belongs to Revival Wellness Clinic in Sandpoint, ID.
Certificate of Waiver, effective August 20, 2025, expires August 19, 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 20, 2025
- Certificate expiration
- August 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 20, 2025
- Facility type
- Community clinic
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 13D2328975
- Lab name
- Revival Wellness Clinic
- Address
- 1319 Hwy 2 Unit D, Sandpoint, ID 83864
- Phone
- (208) 518-1003
- Fax
- (855) 274-4521
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Sandpoint, ID
- Alpine Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office13D2133825
- Applegate Health CareCertificate for Provider-Performed Microscopy Procedures, Other practitioner13D1059783
- Bonner General Family and Internal MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office13D2188597
- Bonner General HealthCertificate of Compliance, Hospital13D0522371
- Bonner General UrologyCertificate of Waiver, Physician office13D2346758
- Kaniksu Community HealthCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center13D0723974
- Kootenai Cancer Services BGHCertificate of Waiver, Community clinic13D1081767
- Lakeshore HealthCertificate of Waiver, Physician office13D2296980
- Lakeside MedicineCertificate of Waiver, Other practitioner13D2156095
- Liberty Dialysis - SandpointCertificate of Waiver, End stage renal disease dialysis facility13D1095663
Related
Questions
What is the CLIA number for Revival Wellness Clinic in Sandpoint?
13D2328975, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revival Wellness Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2328975 expire?
The CMS file lists August 19, 2027 as the certificate expiration date; the certificate took effect August 20, 2025.