CLIA lab
CLIA 15D2143508: Randall Dermatology, PC
Terre Haute, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2143508 belongs to Randall Dermatology, PC in Terre Haute, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- 15D2143508
- Lab name
- Randall Dermatology, PC
- Address
- 4949 E Poplar Dr, Terre Haute, IN 47803
- Phone
- (765) 463-6722
- Fax
- (765) 463-0905
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Terre Haute, IN
- Ambucare Clinic South PCCertificate of Waiver, Physician office15D0708269
- Ambulance Management Services, LTDCertificate of Waiver, Ambulance15D2339451
- Anabranch Recovery CenterCertificate of Waiver, Other15D2286025
- Angels Care Home HealthCertificate of Waiver, Home health agency15D2145341
- Antwan Mardini MDCertificate of Waiver, Physician office15D2268360
- Biomat USA IncCertificate of Accreditation, Other15D1084786
- Bunkerhill Group HomeCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities15D2316959
- CSL Plasma, IncCertificate of Compliance, Other15D2165079
- Centerwell Home HealthCertificate of Waiver, Home health agency15D0968117
- City of Terre Haute Fire DeptCertificate of Waiver, Ambulance15D2096799
Related
Questions
What is the CLIA number for Randall Dermatology, PC in Terre Haute?
15D2143508, 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 15D2143508 expire?
The CMS file lists January 30, 2028 as the certificate expiration date; the certificate took effect January 31, 2026.