CLIA lab
CLIA 13D2155360: Mountain Pine Dermatology
Emmett, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2155360 belongs to Mountain Pine Dermatology in Emmett, ID.
Certificate for Provider-Performed Microscopy Procedures, effective September 27, 2024, expiration date September 26, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 27, 2024
- Certificate expiration
- September 26, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 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
- 13D2155360
- Lab name
- Mountain Pine Dermatology
- Address
- 1202 E Locust St, Emmett, ID 83617
- Phone
- (208) 878-7467
- Fax
- (208) 314-0102
Annual test volume the lab reported
- Waived tests
- 200
- Provider-performed microscopy tests
- 100
- Total
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Emmett, ID
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- Cottages Senior Living I LLCCertificate of Waiver, Assisted living facility13D2195126
- Emmett Eye CenterCertificate of Waiver, Physician office13D2145244
- Emmett Family Medicine & Direct Primary CareCertificate for Provider-Performed Microscopy Procedures, Community clinic13D2103854
- Emmett Family ServicesCertificate of Waiver, Other13D2344596
- Emmett of Cascadia LLCCertificate of Waiver, Skilled nursing or nursing facility13D0671101
- Emmett of Olympus LLCCertificate of Waiver, Assisted living facility13D2346812
- Gem Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office13D2227796
- Idaho Physical Medicine and RehabilitationCertificate of Waiver, Physician office13D2244089
- Integrity Mental HealthCertificate of Waiver, Physician office13D2349125
Related
Questions
What is the CLIA number for Mountain Pine Dermatology in Emmett?
13D2155360, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mountain Pine Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D2155360 expire?
The CMS file lists September 26, 2026 as the certificate expiration date; the certificate took effect September 27, 2024.