CLIA lab

CLIA 13D2305959: Lone Pine Dermatology

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

CLIA number 13D2305959 belongs to Lone Pine Dermatology in Preston, ID.

Certificate of Compliance, effective April 21, 2025, expires April 20, 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 of Compliance
Certificate effective
April 21, 2025
Certificate expiration
April 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 10, 2024
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
13D2305959
Lab name
Lone Pine Dermatology
Address
64 N 100 E Ste 200, Preston, ID 83263
Phone
(435) 554-8442
Fax
(435) 500-9167

Annual test volume the lab reported

Other nonwaived tests
500

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

Affiliated CLIA numbers

Other labs in Preston, ID

Related

Questions

What is the CLIA number for Lone Pine Dermatology in Preston?

13D2305959, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lone Pine Dermatology hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 13D2305959 expire?

The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.

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