CLIA lab
CLIA 15D0910366: Randall Dermatology, PC
West Lafayette, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0910366 belongs to Randall Dermatology, PC in West Lafayette, IN.
Certificate of Compliance, effective January 30, 2025, expires January 29, 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
- January 30, 2025
- Certificate expiration
- January 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 1996
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D0910366
- Lab name
- Randall Dermatology, PC
- Address
- 124 Sagamore Pkwy W, 124 Suite, West Lafayette, IN 47906
- Phone
- (765) 463-6722
Annual test volume the lab reported
- Waived tests
- 2,790
- Provider-performed microscopy tests
- 6
- Other nonwaived tests
- 2,214
- Total
- 5,010
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in West Lafayette, IN
- CSL Plasma, IncCertificate of Compliance, Other15D0670186
- Center for Healthy LivingCertificate of Waiver, Physician office15D2132872
- Coze Health Medical LLCCertificate of Waiver, Physician office15D2165591
- Department of Nutrition Science/Purdue UniversityCertificate of Waiver, Other15D2295922
- Franciscan Orthoindy Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center15D2330034
- Franciscan Physician Network Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office15D1032591
- Franciscan Physician Network Pediatrics WestCertificate of Waiver, Physician office15D1030999
- Franciscan Physician Network West LafayetteCertificate of Compliance, Other15D1041845
- Gagan Chadha MDCertificate of Waiver, Physician office15D0953549
- Heritage HealthcareCertificate of Waiver, Skilled nursing or nursing facility15D0362354
Related
Questions
What is the CLIA number for Randall Dermatology, PC in West Lafayette?
15D0910366, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Randall Dermatology, PC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 15D0910366 expire?
The CMS file lists January 29, 2027 as the certificate expiration date; the certificate took effect January 30, 2025.