CLIA lab
CLIA 13D2332569: Mountain Peak Pediatrics
Rexburg, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2332569 belongs to Mountain Peak Pediatrics in Rexburg, ID.
Certificate of Waiver, effective October 21, 2025, expires October 20, 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
- October 21, 2025
- Certificate expiration
- October 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 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
- 13D2332569
- Lab name
- Mountain Peak Pediatrics
- Address
- 1236 Bond Ave Ste B, Rexburg, ID 83440
- Phone
- (208) 522-4600
- Fax
- (208) 552-7521
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Biomat USA IncCertificate of Accreditation, Other13D0922940
- Biomat USA IncCertificate of Accreditation, Other13D2149953
- Broulims Pharmacy #6Certificate of Waiver, Pharmacy13D2136415
- Byu - Idaho Student Health CenterCertificate of Compliance, School or student health service13D0056537
- Clinical Research Prime RexburgCertificate of Waiver, Other13D2233937
- Community Care RexburgCertificate of Compliance, Rural health clinic13D0962844
- Complete Family CareCertificate of Waiver, Physician office13D2087556
- Cress Creek Counseling PLLCCertificate of Waiver, Other practitioner13D2313780
- Elite Clinical Trials LllpCertificate of Waiver, Other13D2185451
Related
Questions
What is the CLIA number for Mountain Peak Pediatrics in Rexburg?
13D2332569, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mountain Peak Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2332569 expire?
The CMS file lists October 20, 2027 as the certificate expiration date; the certificate took effect October 21, 2025.