CLIA lab
CLIA 36D2043146: Kouba Dermatolog Mohs Lab - Wauseon
Wauseon, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2043146 belongs to Kouba Dermatolog Mohs Lab - Wauseon in Wauseon, OH.
Certificate of Compliance, effective October 25, 2026, expires October 24, 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
- October 25, 2026
- Certificate expiration
- October 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 28, 2012
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D2043146
- Lab name
- Kouba Dermatolog Mohs Lab - Wauseon
- Address
- 1090 North Shoop Avenue, Wauseon, OH 43567
- Phone
- (419) 479-5792
Annual test volume the lab reported
- Other nonwaived tests
- 2,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Wauseon, OH
- Buckeye Forest at Wauseon DBACertificate of Waiver, Skilled nursing or nursing facility36D0331606
- City of Wauseon, Wauseon FireCertificate of Waiver, Ambulance36D2123656
- Fchc Medical Care LLC DBA Fchc PediatricsCertificate of Waiver, Other practitioner36D2067528
- Fchc Urgent CareCertificate of Waiver, Physician office36D2225328
- Fulton Co Health DeptCertificate for Provider-Performed Microscopy Procedures, Community clinic36D0695330
- Fulton County EMSCertificate of Waiver, Ambulance36D1019341
- Fulton County Health CenterCertificate of Accreditation, Hospital36D0897859
- Fulton County Health CenterCertificate of Waiver, Hospital36D2248135
- Fulton County Health Center - Main LabCertificate of Accreditation, Hospital36D0331603
- Fulton County Ob/Gyn LLCCertificate for Provider-Performed Microscopy Procedures, Physician office36D1005599
Related
Questions
What is the CLIA number for Kouba Dermatolog Mohs Lab - Wauseon in Wauseon?
36D2043146, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kouba Dermatolog Mohs Lab - Wauseon hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 36D2043146 expire?
The CMS file lists October 24, 2028 as the certificate expiration date; the certificate took effect October 25, 2026.