CLIA lab
CLIA 36D2058653: Kouba Dermatology Mohs Lab - Woodville
Woodville, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2058653 belongs to Kouba Dermatology Mohs Lab - Woodville in Woodville, OH.
Certificate of Compliance, effective September 10, 2025, expires September 9, 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 of Compliance
- Certificate effective
- September 10, 2025
- Certificate expiration
- September 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 10, 2013
- 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
- 36D2058653
- Lab name
- Kouba Dermatology Mohs Lab - Woodville
- Address
- 1100 W Main St, Woodville, OH 43469
- Phone
- (419) 479-5792
Annual test volume the lab reported
- Other nonwaived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Woodville, OH
Related
Questions
What is the CLIA number for Kouba Dermatology Mohs Lab - Woodville in Woodville?
36D2058653, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kouba Dermatology Mohs Lab - Woodville hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 36D2058653 expire?
The CMS file lists September 9, 2027 as the certificate expiration date; the certificate took effect September 10, 2025.