CLIA lab

CLIA 18D2200636: Modern Dermatology of Kentucky LLC

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

CLIA number 18D2200636 belongs to Modern Dermatology of Kentucky LLC in Richmond, 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

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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
18D2200636
Lab name
Modern Dermatology of Kentucky LLC
Address
120 Meridian Way, Richmond, KY 40475
Phone
(859) 276-1511
Fax
(859) 276-3373

Annual test volume the lab reported

Waived tests
750

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

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Related

Questions

What is the CLIA number for Modern Dermatology of Kentucky LLC in Richmond?

18D2200636, 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 18D2200636 expire?

The CMS file lists November 16, 2026 as the certificate expiration date; the certificate took effect November 17, 2024.

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