CLIA lab
CLIA 13D2136261: Kootenai Clinic Dermatology
Coeur D'alene, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2136261 belongs to Kootenai Clinic Dermatology in Coeur D'alene, ID.
Certificate for Provider-Performed Microscopy Procedures, effective September 6, 2025, expires September 5, 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 6, 2025
- Certificate expiration
- September 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 6, 2017
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 13D2136261
- Lab name
- Kootenai Clinic Dermatology
- Address
- 980 W Ironwood Dr #01, Coeur D'alene, ID 83814
- Phone
- (208) 625-4333
Annual test volume the lab reported
- Waived tests
- 36
- Provider-performed microscopy tests
- 36
- Total
- 72
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 Kootenai Clinic Dermatology in Coeur D'alene?
13D2136261, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kootenai Clinic Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D2136261 expire?
The CMS file lists September 5, 2027 as the certificate expiration date; the certificate took effect September 6, 2025.