CLIA lab
CLIA 15D1037467: Northside Dermatology LLC
Fishers, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1037467 belongs to Northside Dermatology LLC in Fishers, IN.
Certificate for Provider-Performed Microscopy Procedures, effective February 24, 2025, expires February 23, 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
- February 24, 2025
- Certificate expiration
- February 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 24, 2005
- 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
- 15D1037467
- Lab name
- Northside Dermatology LLC
- Address
- 9865 E 116th St Ste 200, Fishers, IN 46037
- Phone
- (317) 849-6600
- Fax
- (317) 849-6601
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- Amg SV - Fishers Primary and Specialty CareCertificate for Provider-Performed Microscopy Procedures, Physician office15D0897064
- Any Lab Test Now - Fishers, inCertificate of Waiver, Other15D2079502
- Ascension Medical Group ST Vincent -Certificate of Waiver, Physician office15D0691732
- Ascension Medical Group ST Vincent -Certificate for Provider-Performed Microscopy Procedures, Physician office15D1041350
- Ascension Medical Group ST Vincent - FishersCertificate for Provider-Performed Microscopy Procedures, Physician office15D2070867
- Ascension Medical Group ST Vincent-Certificate for Provider-Performed Microscopy Procedures, Physician office15D1088826
Related
Questions
What is the CLIA number for Northside Dermatology LLC in Fishers?
15D1037467, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Dermatology LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 15D1037467 expire?
The CMS file lists February 23, 2027 as the certificate expiration date; the certificate took effect February 24, 2025.