CLIA lab
CLIA 18D2200624: Modern Dermatology of Kentucky LLC
London, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D2200624 belongs to Modern Dermatology of Kentucky LLC in London, KY.
Certificate of Waiver, effective November 17, 2024, expires November 16, 2026.
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
- November 17, 2024
- Certificate expiration
- November 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 17, 2020
- 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
- 18D2200624
- Lab name
- Modern Dermatology of Kentucky LLC
- Address
- 1750 Hwy 192 West - Ste 8, London, KY 40744
- Phone
- (859) 276-1511
- Fax
- (859) 276-3373
Annual test volume the lab reported
- Waived tests
- 490
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in London, KY
- Adventhealth London Parkway ClinicCertificate of Waiver, Rural health clinic18D0934788
- Air Evac EMS Inc DBA Air Evac Lifeteam Ael 179Certificate of Waiver, Mobile lab18D2281351
- Aisin London Health & Wellness CenterCertificate of Waiver, Other18D2257132
- Ascend Wellness, LLCCertificate of Waiver, Physician office18D2314265
- BC Medical LLC DBA Convenient Care ClinicCertificate of Waiver, Other practitioner18D2092524
- Baptist Health Corbin - Baptist Health LondonCertificate of Waiver, Other18D2326126
- Baptist Health Medical Group Primary Care LondonCertificate of Waiver, Physician office18D2322257
- Brightview, LLCCertificate of Waiver, Physician office18D2068392
- Chi Saint Joseph Cancer Care Center - LondonCertificate of Compliance, Physician office18D1053655
- Commonspirit Saint Joseph Hospital LondonCertificate of Accreditation, Hospital18D0323804
Related
Questions
What is the CLIA number for Modern Dermatology of Kentucky LLC in London?
18D2200624, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Modern Dermatology of Kentucky LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D2200624 expire?
The CMS file lists November 16, 2026 as the certificate expiration date; the certificate took effect November 17, 2024.