CLIA lab

CLIA 16D2115309: Lakes Dermatology, PLLC

Spirit Lake, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 16D2115309 belongs to Lakes Dermatology, PLLC in Spirit Lake, IA.

Certificate of Waiver, effective March 29, 2026, expires March 28, 2028.

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 Waiver
Certificate effective
March 29, 2026
Certificate expiration
March 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 5, 2016
Facility type
Other practitioner
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
16D2115309
Lab name
Lakes Dermatology, PLLC
Address
2704 Enterprise Ave, Spirit Lake, IA 51360
Phone
(712) 336-2728
Fax
(712) 336-2842

Annual test volume the lab reported

Waived tests
300

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

Affiliated CLIA numbers

Other labs in Spirit Lake, IA

Related

Questions

What is the CLIA number for Lakes Dermatology, PLLC in Spirit Lake?

16D2115309, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lakes Dermatology, PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 16D2115309 expire?

The CMS file lists March 28, 2028 as the certificate expiration date; the certificate took effect March 29, 2026.

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