CLIA lab
CLIA 38D2179965: Mountain Pine Dermatology, PLLC
Baker City, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D2179965 belongs to Mountain Pine Dermatology, PLLC in Baker City, OR.
Certificate of Waiver, effective February 11, 2026, expires February 10, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 11, 2026
- Certificate expiration
- February 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 38D2179965
- Lab name
- Mountain Pine Dermatology, PLLC
- Address
- 3175 Pocahontas Rd, Baker City, OR 97814
- Phone
- (208) 898-7467
- Fax
- (208) 398-2120
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Baker City, OR
- Baker City Chiropractic ClinicCertificate of Waiver, Other practitioner38D2080445
- Baker City Fire DepartmentCertificate of Waiver, Ambulance38D0973867
- Baker County Health DepartmentCertificate for Provider-Performed Microscopy Procedures, Public health laboratory38D0666992
- Baker County Sheriff's OfficeCertificate of Waiver, Other practitioner38D2258747
- Baker Vision ClinicCertificate of Waiver, Physician office38D2067876
- Eastern Oregon Recovery and MedicalCertificate of Waiver, Independent38D2178669
- Elkhorn Family MedicineCertificate of Waiver, Physician office38D0857514
- Heart 'N Home Hospice and Palliative CareCertificate of Waiver, Hospice38D2145952
- Meadowbrook Place Operations LLC DBACertificate of Waiver, Assisted living facility38D2194721
- Pioneer Ambulance, IncCertificate of Waiver, Ambulance38D2281319
Related
Questions
What is the CLIA number for Mountain Pine Dermatology, PLLC in Baker City?
38D2179965, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mountain Pine Dermatology, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D2179965 expire?
The CMS file lists February 10, 2028 as the certificate expiration date; the certificate took effect February 11, 2026.