13D2259174 CLIA NUMBER - MERIDIAN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 13D2259174
  • Facility Name: MERIDIAN DERMATOLOGY
  • Facility Address: 3250 N LESLIE WAY STE 110
    MERIDIAN, ID
    ZIP 83646
  • Facility Phone: 208 609-9500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RYAN J. HARRIS
  • NPI Number: 1780346809
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 13D2259174
LAB Type Physician Office
Facility Name MERIDIAN DERMATOLOGY
Street 3250 N LESLIE WAY STE 110
City MERIDIAN
State ID
ZIP 83646
Phone 208 609-9500
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 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director RYAN J. HARRIS

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