CLIA lab

CLIA 36D1047259: Blodgett Dermatology

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

CLIA number 36D1047259 belongs to Blodgett Dermatology in Bidwell, OH.

Certificate for Provider-Performed Microscopy Procedures, effective October 31, 2025, expires October 30, 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
October 31, 2025
Certificate expiration
October 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 31, 2005
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
36D1047259
Lab name
Blodgett Dermatology
Address
39 Hidden Valley Dr, Bidwell, OH 45614
Phone
(740) 446-7623
Fax
(740) 779-0487

Annual test volume the lab reported

Waived tests
25
Provider-performed microscopy tests
500
Total
525

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 Blodgett Dermatology in Bidwell?

36D1047259, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Blodgett Dermatology hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 36D1047259 expire?

The CMS file lists October 30, 2027 as the certificate expiration date; the certificate took effect October 31, 2025.

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