CLIA lab
CLIA 13D2022809: North Idaho Dermatology PA
Ponderay, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2022809 belongs to North Idaho Dermatology PA in Ponderay, ID.
Certificate for Provider-Performed Microscopy Procedures, effective March 7, 2025, expires March 6, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 7, 2025
- Certificate expiration
- March 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 11, 2011
- 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
- 13D2022809
- Lab name
- North Idaho Dermatology PA
- Address
- 476394 Hwy 95, Ponderay, ID 83852
- Phone
- (208) 665-7546
- Fax
- (208) 667-4607
Annual test volume the lab reported
- Waived tests
- 50
- Provider-performed microscopy tests
- 50
- Total
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ponderay, ID
- Eden Home Health of Sandpoint LLCCertificate of Waiver, Home health agency13D2031781
- Eden Hospice at the Inland Northwest LLCCertificate of Waiver, Hospice13D2264485
- Pend Oreille Surgery CenterCertificate of Waiver, Ambulatory surgery center13D1086286
- Selkirk EndocrinologyCertificate of Waiver, Independent13D2283356
- Walmart Pharmacy 10-2485Certificate of Waiver, Pharmacy13D2136341
- Woodlands Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office13D1050770
Related
Questions
What is the CLIA number for North Idaho Dermatology PA in Ponderay?
13D2022809, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does North Idaho Dermatology PA hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D2022809 expire?
The CMS file lists March 6, 2027 as the certificate expiration date; the certificate took effect March 7, 2025.