CLIA lab
CLIA 15D2143506: Randall Dermatology, PC
Rensselaer, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2143506 belongs to Randall Dermatology, PC in Rensselaer, IN.
Certificate of Waiver, effective January 31, 2026, expires January 30, 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 of Waiver
- Certificate effective
- January 31, 2026
- Certificate expiration
- January 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 31, 2018
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2143506
- Lab name
- Randall Dermatology, PC
- Address
- 1201 N Mckinley Ave, Rensselaer, IN 47978
- Phone
- (765) 463-6722
- Fax
- (765) 463-0905
Annual test volume the lab reported
- Waived tests
- 480
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Rensselaer, IN
- Birthright of Rensselaer IncCertificate of Waiver, Other15D0876516
- Christian Clinic PCCertificate of Waiver, Physician office15D2072653
- Clinic of Family MedicineCertificate of Waiver, Physician office15D0362552
- Franciscan Health RensselaerCertificate of Accreditation, Hospital15D0362554
- Franciscan Health Rensselaer - Waived POCTCertificate of Waiver, Hospital15D2127749
- Franciscan Health Rensselaer-Non WaivedCertificate of Registration, Hospital15D2349804
- Franciscan Physician Network Rensselaer MedicalCertificate of Waiver, Physician office15D2033184
- Jasper County Health DepartmentCertificate of Waiver, Public health laboratory15D2269113
- Rensselaer Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0725875
- Walgreens #21380Certificate of Waiver, Pharmacy15D2037741
Related
Questions
What is the CLIA number for Randall Dermatology, PC in Rensselaer?
15D2143506, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Randall Dermatology, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2143506 expire?
The CMS file lists January 30, 2028 as the certificate expiration date; the certificate took effect January 31, 2026.