CLIA lab

CLIA 13D2068472: Alpine Dermatology Clinic PC

Idaho Falls, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 13D2068472 belongs to Alpine Dermatology Clinic PC in Idaho Falls, ID.

Certificate of Compliance, effective March 17, 2025, expires March 16, 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
March 17, 2025
Certificate expiration
March 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 5, 2013
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
13D2068472
Lab name
Alpine Dermatology Clinic PC
Address
780 Bridgeport Rd, Idaho Falls, ID 83402
Phone
(208) 881-5241

Annual test volume the lab reported

Waived tests
200
Other nonwaived tests
245
Total
445

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Idaho Falls, ID

Related

Questions

What is the CLIA number for Alpine Dermatology Clinic PC in Idaho Falls?

13D2068472, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Alpine Dermatology Clinic PC hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 13D2068472 expire?

The CMS file lists March 16, 2027 as the certificate expiration date; the certificate took effect March 17, 2025.

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