CLIA lab
CLIA 46D2277018: Lone Pine Dermatology LLC
Providence, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2277018 belongs to Lone Pine Dermatology LLC in Providence, UT.
Certificate of Compliance, effective May 21, 2026, expires May 20, 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 Compliance
- Certificate effective
- May 21, 2026
- Certificate expiration
- May 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 21, 2023
- 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
- 46D2277018
- Lab name
- Lone Pine Dermatology LLC
- Address
- 517 W 100 N, Ste 103, Providence, UT 84332
- Phone
- (435) 554-8442
Annual test volume the lab reported
- Waived tests
- 487
- Other nonwaived tests
- 1,500
- Total
- 1,987
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Providence, UT
- Cache Valley Assisted LivingCertificate of Waiver, Assisted living facility46D2196288
- Center for Creativity Innovation & Discovery, theCertificate of Waiver, Tissue bank or repository46D2332953
- Clear Recovery of Cache Valley, LLCCertificate of Waiver, Other46D2103600
- Foot & Ankle Center of Cache ValleyCertificate of Waiver, Physician office46D2289210
- Gameday Mens Health-LoganCertificate of Accreditation, Physician office46D2317284
- Health West ProvidenceCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center46D2055060
- Kelly Hubbard, Md-Cache Valley DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office46D2175159
- Living Tree Medical GroupCertificate of Waiver, Physician office46D2246257
- Logan River Medicine Ogden ClinicCertificate of Waiver, Physician office46D2305059
- Macey's Pharmacy #8Certificate of Waiver, Pharmacy46D1035987
Related
Questions
What is the CLIA number for Lone Pine Dermatology LLC in Providence?
46D2277018, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lone Pine Dermatology LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 46D2277018 expire?
The CMS file lists May 20, 2028 as the certificate expiration date; the certificate took effect May 21, 2026.