CLIA lab

CLIA 13D2176354: Idaho Dermatology

Rexburg, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 13D2176354 belongs to Idaho Dermatology in Rexburg, ID.

Certificate of Compliance, effective August 12, 2025, expires August 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Compliance
Certificate effective
August 12, 2025
Certificate expiration
August 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 12, 2019
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
13D2176354
Lab name
Idaho Dermatology
Address
859 S Yellowstone Hwy Ste 3302, Rexburg, ID 83440
Phone
(208) 656-2160
Fax
(208) 656-2161

Annual test volume the lab reported

Waived tests
500
Other nonwaived tests
152
Total
652

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Rexburg, ID

Related

Questions

What is the CLIA number for Idaho Dermatology in Rexburg?

13D2176354, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Idaho Dermatology hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 13D2176354 expire?

The CMS file lists August 11, 2027 as the certificate expiration date; the certificate took effect August 12, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.