CLIA lab
CLIA 14D2054063: Dermatology & Mohs Surgery Institute
Bloomington, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2054063 belongs to Dermatology & Mohs Surgery Institute in Bloomington, IL.
Certificate of Compliance, effective October 11, 2025, expires October 10, 2027.
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
- October 11, 2025
- Certificate expiration
- October 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 13, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 7
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D2054063
- Lab name
- Dermatology & Mohs Surgery Institute
- Address
- 303 N Hershey Rd, Bloomington, IL 61704
- Phone
- (309) 451-3376
- Fax
- (309) 452-3376
Annual test volume the lab reported
- Waived tests
- 200
- Other nonwaived tests
- 1,887
- Total
- 2,087
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Bloomington, IL
- Activate By Everside Bloomington, IlCertificate of Waiver, Other14D2260263
- Advanced Women's Health Care S CCertificate for Provider-Performed Microscopy Procedures, Physician office14D2045872
- Applied Pain Institute, LLCCertificate of Waiver, Physician office14D2274608
- Associates in Dermatology, SCCertificate of Compliance, Physician office14D0432268
- Axline Pharmacy (05)Certificate of Waiver, Pharmacy14D2181635
- Bickford House of BloomingtonCertificate of Waiver, Other14D1058079
- Bloomington Eye InstituteCertificate of Waiver, Ambulatory surgery center14D0939310
- Bloomington Eye ProfessionalsCertificate of Waiver, Other practitioner14D1088681
- Bloomington Normal Birthing CenterCertificate for Provider-Performed Microscopy Procedures, Other14D2117837
- Bloomington Pediatrics, LTDCertificate of Waiver, Physician office14D0432359
Related
Questions
What is the CLIA number for Dermatology & Mohs Surgery Institute in Bloomington?
14D2054063, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dermatology & Mohs Surgery Institute hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 14D2054063 expire?
The CMS file lists October 10, 2027 as the certificate expiration date; the certificate took effect October 11, 2025.