CLIA lab

CLIA 01D2115014: Shades Valley Dermatology LLC

Jasper, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 01D2115014 belongs to Shades Valley Dermatology LLC in Jasper, AL.

Certificate for Provider-Performed Microscopy Procedures, effective June 27, 2026, expires June 26, 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 for Provider-Performed Microscopy Procedures
Certificate effective
June 27, 2026
Certificate expiration
June 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 27, 2016
Facility type
Physician office
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
01D2115014
Lab name
Shades Valley Dermatology LLC
Address
1600 5th Avenue S, Jasper, AL 35501
Phone
(205) 578-1799
Fax
(205) 578-3158

Annual test volume the lab reported

Waived tests
1,000
Provider-performed microscopy tests
4,000
Total
5,000

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

Affiliated CLIA numbers

Other labs in Jasper, AL

Related

Questions

What is the CLIA number for Shades Valley Dermatology LLC in Jasper?

01D2115014, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Shades Valley Dermatology LLC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 01D2115014 expire?

The CMS file lists June 26, 2028 as the certificate expiration date; the certificate took effect June 27, 2026.

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