CLIA lab
CLIA 13D2066328: North Idaho Dermatology PA
Moscow, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2066328 belongs to North Idaho Dermatology PA in Moscow, ID.
Certificate for Provider-Performed Microscopy Procedures, effective September 25, 2025, expires September 24, 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
- September 25, 2025
- Certificate expiration
- September 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 2013
- 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
- 13D2066328
- Lab name
- North Idaho Dermatology PA
- Address
- 619 S Washington St Ste 302, Moscow, ID 83843
- Phone
- (208) 665-7546
- Fax
- (208) 667-4607
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 150
- Total
- 250
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 North Idaho Dermatology PA in Moscow?
13D2066328, 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 13D2066328 expire?
The CMS file lists September 24, 2027 as the certificate expiration date; the certificate took effect September 25, 2025.