CLIA lab

CLIA 36D2176514: Dermatologists of Southwest Ohio

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

CLIA number 36D2176514 belongs to Dermatologists of Southwest Ohio in Port Clinton, OH.

Certificate of Waiver, effective December 17, 2025, expires December 16, 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 Waiver
Certificate effective
December 17, 2025
Certificate expiration
December 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 17, 2019
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
36D2176514
Lab name
Dermatologists of Southwest Ohio
Address
730 Jefferson Street, Port Clinton, OH 43452
Phone
(419) 626-6700
Fax
(419) 626-6710

Annual test volume the lab reported

Waived tests
60

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Port Clinton, OH

Related

Questions

What is the CLIA number for Dermatologists of Southwest Ohio in Port Clinton?

36D2176514, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dermatologists of Southwest Ohio hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2176514 expire?

The CMS file lists December 16, 2027 as the certificate expiration date; the certificate took effect December 17, 2025.

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