CLIA lab
CLIA 18D1069964: Vital Skin Medical Group PLLC - DBA Louisville
La Grange, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D1069964 belongs to Vital Skin Medical Group PLLC - DBA Louisville in La Grange, KY.
Certificate for Provider-Performed Microscopy Procedures, effective June 19, 2025, expires June 18, 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
- June 19, 2025
- Certificate expiration
- June 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 19, 2007
- 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
- 18D1069964
- Lab name
- Vital Skin Medical Group PLLC - DBA Louisville
- Additional name
- Dermatology
- Address
- 1023 Sanibel Way, La Grange, KY 40031
- Phone
- (502) 743-4112
Annual test volume the lab reported
- Waived tests
- 25
- Provider-performed microscopy tests
- 20
- Total
- 45
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in La Grange, KY
- Baptist Health La GrangeCertificate of Compliance, Hospital18D2011137
- Baptist Health La GrangeCertificate of Waiver, Ancillary test site18D2126548
- Baptist Health Lagrange CBC GroupCertificate of Waiver, Physician office18D2141046
- Baptist Health Medical Group /Certificate of Waiver, Physician office18D0965777
- Baptist Health Occupational MedicineCertificate of Waiver, Other18D0960055
- Baptist Health Urgent CareCertificate of Waiver, Other18D1026838
- Baptist Health, La GrangeCertificate of Accreditation, Hospital18D0030411
- Baptist Medical AssociatesCertificate of Waiver, Physician office18D2011145
- Bhmg Lagrange Family MedicineCertificate of Waiver, Physician office18D0954827
- Cedar Lake LodgeCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities18D0684053
Related
Questions
What is the CLIA number for Vital Skin Medical Group PLLC - DBA Louisville in La Grange?
18D1069964, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vital Skin Medical Group PLLC - DBA Louisville hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 18D1069964 expire?
The CMS file lists June 18, 2027 as the certificate expiration date; the certificate took effect June 19, 2025.