CLIA lab
CLIA 13D1096028: Alpine Dermatology Clinic
Rexburg, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D1096028 belongs to Alpine Dermatology Clinic in Rexburg, ID.
Certificate of Compliance, effective October 19, 2025, expires October 18, 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 Compliance
- Certificate effective
- October 19, 2025
- Certificate expiration
- October 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 24, 2009
- 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
- 13D1096028
- Lab name
- Alpine Dermatology Clinic
- Address
- 1049 Summers Dr, Rexburg, ID 83440
- Phone
- (208) 359-4841
Annual test volume the lab reported
- Waived tests
- 500
- Other nonwaived tests
- 300
- Total
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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
- Fall Creek Skin & Health ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office13D1032996
Related
Questions
What is the CLIA number for Alpine Dermatology Clinic in Rexburg?
13D1096028, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alpine Dermatology Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 13D1096028 expire?
The CMS file lists October 18, 2027 as the certificate expiration date; the certificate took effect October 19, 2025.