CLIA lab

CLIA 15D2275622: Optima Dermatology

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

CLIA number 15D2275622 belongs to Optima Dermatology in Bloomington, IN.

Certificate for Provider-Performed Microscopy Procedures, effective January 25, 2025, expires January 24, 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 25, 2025
Certificate expiration
January 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 25, 2023
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
15D2275622
Lab name
Optima Dermatology
Address
1010 W 2nd Street, Bloomington, IN 47403
Phone
(855) 277-9689
Fax
(603) 451-6001

Annual test volume the lab reported

Waived tests
200
Provider-performed microscopy tests
200
Total
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Bloomington, IN

Related

Questions

What is the CLIA number for Optima Dermatology in Bloomington?

15D2275622, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Optima Dermatology hold?

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

When does CLIA 15D2275622 expire?

The CMS file lists January 24, 2027 as the certificate expiration date; the certificate took effect January 25, 2025.

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