CLIA lab
CLIA 36D2312139: Petit Dermatology LLC
Liberty Township, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2312139 belongs to Petit Dermatology LLC in Liberty Township, OH.
Certificate of Waiver, effective October 4, 2026, expires October 3, 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 Waiver
- Certificate effective
- October 4, 2026
- Certificate expiration
- October 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 2024
- 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
- 36D2312139
- Lab name
- Petit Dermatology LLC
- Address
- 6770 Cincinnati Dayton Road, Suite 200, Liberty Township, OH 45044
- Phone
- (513) 276-4981
- Fax
- (833) 973-4315
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Liberty Township, OH
- Butler County Home Training DialysisCertificate of Waiver, End stage renal disease dialysis facility36D1055381
- CG Medical Associates, IncCertificate of Waiver, Physician office36D2296210
- Christ Hospital - Dermatology, theCertificate for Provider-Performed Microscopy Procedures, Physician office36D2214970
- Cincinnati Children's Hospital Liberty CampusCertificate of Waiver, Ancillary test site36D1008471
- Cincinnati Children's Liberty CampusCertificate of Accreditation, Hospital36D1087513
- Cincinnati Childrens Primary CareCertificate of Waiver, Physician office36D1090812
- Dialysis Access Center of CincinnatiCertificate of Waiver, Ambulatory surgery center36D2213385
- Kidney & Hypertension Center, theCertificate for Provider-Performed Microscopy Procedures, Physician office36D2004735
- Kings Wellness IncCertificate of Waiver, Community clinic36D2340955
- Liberty Endoscopy Center, LLCCertificate of Waiver, Ambulatory surgery center36D2143821
Related
Questions
What is the CLIA number for Petit Dermatology LLC in Liberty Township?
36D2312139, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Petit Dermatology LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2312139 expire?
The CMS file lists October 3, 2028 as the certificate expiration date; the certificate took effect October 4, 2026.