CLIA lab

CLIA 15D0360074: Dermatology Clinic of Muncie

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

CLIA number 15D0360074 belongs to Dermatology Clinic of Muncie in Muncie, IN.

Certificate for Provider-Performed Microscopy Procedures, effective January 10, 2025, expires January 9, 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 for Provider-Performed Microscopy Procedures
Certificate effective
January 10, 2025
Certificate expiration
January 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
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
15D0360074
Lab name
Dermatology Clinic of Muncie
Address
1808 W Royale Dr, Muncie, IN 47304
Phone
(765) 288-8188
Fax
(765) 282-7242

Annual test volume the lab reported

Waived tests
100
Provider-performed microscopy tests
60
Total
160

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 Dermatology Clinic of Muncie in Muncie?

15D0360074, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dermatology Clinic of Muncie hold?

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

When does CLIA 15D0360074 expire?

The CMS file lists January 9, 2027 as the certificate expiration date; the certificate took effect January 10, 2025.

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