CLIA lab
CLIA 36D0962642: Advanced Dermatology of NC Ohio Inc
Mansfield, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0962642 belongs to Advanced Dermatology of NC Ohio Inc in Mansfield, OH.
Certificate of Compliance, effective February 14, 2026, expires February 13, 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 Compliance
- Certificate effective
- February 14, 2026
- Certificate expiration
- February 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 9, 1999
- 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
- 36D0962642
- Lab name
- Advanced Dermatology of NC Ohio Inc
- Address
- 770 Balgreen Drive Suite 201, Mansfield, OH 44906
- Phone
- (419) 756-1600
- Fax
- (419) 775-1196
Annual test volume the lab reported
- Other nonwaived tests
- 450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mansfield, OH
- Akron Children's Hospital OutpatientCertificate for Provider-Performed Microscopy Procedures, Ancillary test site36D2141973
- Altercare Home HealthCertificate of Waiver, Home health agency36D2316235
- Avita Health ServicesCertificate of Waiver, Physician office36D2110541
- Avita Workwell OntarioCertificate of Waiver, Physician office36D2179284
- Biomat Holdings, LLC DBACertificate of Accreditation, Other36D2254993
- Bma MansfieldCertificate of Waiver, End stage renal disease dialysis facility36D0344559
- Brightview, LLC - Mansfield, Ohio OfficeCertificate of Waiver, Physician office36D2205806
- Cambridge Home Health Care, Inc DBACertificate of Waiver, Home health agency36D1065624
- Center for Individual and FamilyCertificate of Waiver, Community clinic36D2077187
- Cleveland Clinic Mansfield Cancer CenterCertificate of Accreditation, Other36D0344631
Related
Questions
What is the CLIA number for Advanced Dermatology of NC Ohio Inc in Mansfield?
36D0962642, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Dermatology of NC Ohio Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 36D0962642 expire?
The CMS file lists February 13, 2028 as the certificate expiration date; the certificate took effect February 14, 2026.