13D2243916 CLIA NUMBER - S ALBERTSON DERMATOLOGY AND SKIN CANCER CENTER

Laboratory Demographics

  • CLIA Code: 13D2243916
  • Facility Name: S ALBERTSON DERMATOLOGY AND SKIN CANCER CENTER
  • Facility Address: 2375 E SUNNYSIDE RD STE J
    IDAHO FALLS, ID
    ZIP 83404
  • Facility Phone: 208 497-0532
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STETSON R. ALBERTSON
  • NPI Number: 1023064946
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2243916
LAB Type Physician Office
Facility Name S ALBERTSON DERMATOLOGY AND SKIN CANCER CENTER
Street 2375 E SUNNYSIDE RD STE J
City IDAHO FALLS
State ID
ZIP 83404
Phone 208 497-0532
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Physician Office
Lab Director STETSON R. ALBERTSON

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This page was last updated on: 9/29/2025