CLIA lab
CLIA 13D2156095: Lakeside Medicine
Sandpoint, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2156095 belongs to Lakeside Medicine in Sandpoint, ID.
Certificate of Waiver, effective October 10, 2024, expiration date October 9, 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 of Waiver
- Certificate effective
- October 10, 2024
- Certificate expiration
- October 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 10, 2018
- Facility type
- Other practitioner
- 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
- 13D2156095
- Lab name
- Lakeside Medicine
- Address
- 1005 Highway 2 West, Sandpoint, ID 83864
- Phone
- (208) 290-3302
- Fax
- (208) 255-2066
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bonner General HealthCertificate of Compliance, Hospital13D0522371
- Bonner General UrologyCertificate of Waiver, Physician office13D2346758
- Kaniksu Community HealthCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center13D0723974
- Kootenai Cancer Services BGHCertificate of Waiver, Community clinic13D1081767
- Lakeshore HealthCertificate of Waiver, Physician office13D2296980
- Liberty Dialysis - SandpointCertificate of Waiver, End stage renal disease dialysis facility13D1095663
- Lifecare Center of SandpointCertificate of Waiver, Skilled nursing or nursing facility13D0930061
Related
Questions
What is the CLIA number for Lakeside Medicine in Sandpoint?
13D2156095, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeside Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2156095 expire?
The CMS file lists October 9, 2026 as the certificate expiration date; the certificate took effect October 10, 2024.