CLIA lab
CLIA 13D2167724: Mountain Pine Dermatology
Caldwell, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2167724 belongs to Mountain Pine Dermatology in Caldwell, ID.
Certificate of Compliance, effective November 18, 2024, expires November 17, 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 18, 2024
- Certificate expiration
- November 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 13D2167724
- Lab name
- Mountain Pine Dermatology
- Address
- 211 E Logan St Ste 305, Caldwell, ID 83605
- Phone
- (208) 898-7467
- Fax
- (208) 398-2120
Annual test volume the lab reported
- Waived tests
- 425
- Other nonwaived tests
- 475
- Total
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Caldwell, ID
- Autumn Wind Assisted LivingCertificate of Waiver, Assisted living facility13D2008654
- Caldwell Care of CascadiaCertificate of Waiver, Skilled nursing or nursing facility13D0704508
- Caldwell CbocCertificate of Accreditation, Community clinic13D1065097
- Caldwell Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility13D1092943
- Caldwell Immediate CareCertificate of Waiver, Physician office13D2101043
- Caldwell Recovery CenterCertificate of Waiver, Other13D2345359
- Canyon County Ambulance DistrictCertificate of Waiver, Ambulance13D1098212
- Canyon County Sheriff's OfficeCertificate of Waiver, Other13D2250086
- Canyon West of CascadiaCertificate of Waiver, Skilled nursing or nursing facility13D0861690
- College of Idaho Athletic Training Room, theCertificate of Waiver, Other13D2197306
Related
Questions
What is the CLIA number for Mountain Pine Dermatology in Caldwell?
13D2167724, 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 13D2167724 expire?
The CMS file lists November 17, 2026 as the certificate expiration date; the certificate took effect November 18, 2024.