CLIA lab
CLIA 06D2264489: Divine Dermotology and Surgical Institute
Longmont, CO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 06D2264489 belongs to Divine Dermotology and Surgical Institute in Longmont, CO.
Certificate for Provider-Performed Microscopy Procedures, effective July 14, 2026, expires July 13, 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
- July 14, 2026
- Certificate expiration
- July 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 14, 2022
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 06D2264489
- Lab name
- Divine Dermotology and Surgical Institute
- Address
- 1715 Iron Horse Drive Suite 104, Longmont, CO 80501
- Phone
- (970) 286-2668
- Fax
- (970) 294-4954
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 20
- Total
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Divine Dermotology and Surgical Institute in Longmont?
06D2264489, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Divine Dermotology and Surgical Institute hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 06D2264489 expire?
The CMS file lists July 13, 2028 as the certificate expiration date; the certificate took effect July 14, 2026.