CLIA lab
CLIA 13D2143283: Eagle Dermatology, LLC
Eagle, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2143283 belongs to Eagle Dermatology, LLC in Eagle, ID.
Certificate of Compliance, effective March 12, 2025, expires March 11, 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 12, 2025
- Certificate expiration
- March 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 2018
- 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
- 13D2143283
- Lab name
- Eagle Dermatology, LLC
- Address
- 74 N Fisher Parkway, Eagle, ID 83616
- Phone
- (208) 391-7210
- Fax
- (208) 391-2130
Annual test volume the lab reported
- Waived tests
- 373
- Other nonwaived tests
- 240
- Total
- 613
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 Eagle Dermatology, LLC in Eagle?
13D2143283, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eagle Dermatology, LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 13D2143283 expire?
The CMS file lists March 11, 2027 as the certificate expiration date; the certificate took effect March 12, 2025.