CLIA lab
CLIA 13D2120213: Mountain Pine Dermatology
Meridian, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2120213 belongs to Mountain Pine Dermatology in Meridian, ID.
Certificate of Compliance, effective November 28, 2024, expires November 27, 2026.
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
- November 28, 2024
- Certificate expiration
- November 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 12, 2016
- 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
- 13D2120213
- Lab name
- Mountain Pine Dermatology
- Address
- 4664 N Penngrove Way Ste 100, Meridian, ID 83646
- Phone
- (208) 898-7467
- Fax
- (208) 398-2120
Annual test volume the lab reported
- Waived tests
- 1,750
- Other nonwaived tests
- 1,150
- Total
- 2,900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Meridian, ID
- 10 Mile Endoscopy Center LLCCertificate of Waiver, Ambulatory surgery center13D2338872
- Ada County Coroner's OfficeCertificate of Waiver, Other13D2201005
- Ada West DermatologyCertificate of Compliance, Physician office13D0895833
- Ada West DermatologyCertificate of Compliance, Physician office13D2171439
- Ada West DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office13D2178556
- Ada West DermatologyCertificate of Waiver, Physician office13D2332626
- Ada West Dermatopathology LabCertificate of Accreditation, Other13D2047540
- Add Clinic of IdahoCertificate of Waiver, Independent13D2284741
- Aesthetic Physicians PC DBA Sono BelloCertificate of Waiver, Physician office13D2276254
- Ageless Men's HealthCertificate of Waiver, Other13D2180351
Related
Questions
What is the CLIA number for Mountain Pine Dermatology in Meridian?
13D2120213, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mountain Pine Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 13D2120213 expire?
The CMS file lists November 27, 2026 as the certificate expiration date; the certificate took effect November 28, 2024.