CLIA lab
CLIA 36D1017621: Northeast Dermatology & Cosmetic Surgery CTR
Gahanna, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1017621 belongs to Northeast Dermatology & Cosmetic Surgery CTR in Gahanna, OH.
Certificate of Compliance, effective April 15, 2026, expires April 14, 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
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- April 15, 2026
- Certificate expiration
- April 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2003
- 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
- 36D1017621
- Lab name
- Northeast Dermatology & Cosmetic Surgery CTR
- Address
- 925 N Hamilton Road, Suite 100, Gahanna, OH 43230
- Phone
- (614) 473-9519
- Fax
- (614) 626-7774
Annual test volume the lab reported
- Waived tests
- 300
- Other nonwaived tests
- 620
- Total
- 920
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Gahanna, OH
- Affordable Care ClinicCertificate of Waiver, Other practitioner36D2044779
- American Primary Healthcare, LLCCertificate of Waiver, Home health agency36D2193884
- Bless Health Care AgencyCertificate of Waiver, Home health agency36D2336177
- Carepoint Gahanna Osu Family PracticeCertificate of Waiver, Physician office36D0903665
- Careway Home Health Care, LLCCertificate of Waiver, Home health agency36D2321141
- Center for Cosmetic Surgery, the DBA the SkinCertificate of Waiver, Ambulatory surgery center36D1090020
- Central Ohio Endoscopy Center, LLCCertificate of Waiver, Ambulatory surgery center36D2317650
- Central Ohio Nutrition Center IncCertificate of Waiver, Physician office36D0723355
- Central Ohio Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office36D0330416
- Central Ohio Primary CareCertificate of Waiver, Physician office36D0676628
Related
Questions
What is the CLIA number for Northeast Dermatology & Cosmetic Surgery CTR in Gahanna?
36D1017621, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northeast Dermatology & Cosmetic Surgery CTR hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 36D1017621 expire?
The CMS file lists April 14, 2028 as the certificate expiration date; the certificate took effect April 15, 2026.