CLIA lab
CLIA 13D2331384: Idaho CVS Pharmacy LLC
Lewiston, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2331384 belongs to Idaho CVS Pharmacy LLC in Lewiston, ID.
Certificate of Waiver, effective September 30, 2025, expires September 29, 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
- September 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2025
- Facility type
- Pharmacy
- 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
- 13D2331384
- Lab name
- Idaho CVS Pharmacy LLC
- Additional name
- DBA CVS Pharmacy #11643
- Address
- 1904 19th Avenue, Lewiston, ID 83501
- Phone
- (208) 743-9127
- Fax
- (401) 216-0351
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Idaho CVS Pharmacy LLC in Lewiston?
13D2331384, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Idaho CVS Pharmacy LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2331384 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.