CLIA lab
CLIA 13D2212682: Idaho Skin Center
Ketchum, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2212682 belongs to Idaho Skin Center in Ketchum, ID.
Certificate for Provider-Performed Microscopy Procedures, effective February 5, 2025, expires February 4, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- February 5, 2025
- Certificate expiration
- February 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 2021
- 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
- 13D2212682
- Lab name
- Idaho Skin Center
- Address
- 100 S Leadville Ave Ste 2, Ketchum, ID 83340
- Phone
- (208) 881-5779
- Fax
- (888) 326-6076
Annual test volume the lab reported
- Waived tests
- 24
- Provider-performed microscopy tests
- 24
- Total
- 48
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 Idaho Skin Center in Ketchum?
13D2212682, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Idaho Skin Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D2212682 expire?
The CMS file lists February 4, 2027 as the certificate expiration date; the certificate took effect February 5, 2025.