CLIA lab
CLIA 45D1011220: Oliver Street Dermatology ASC LLC
Tyler, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D1011220 belongs to Oliver Street Dermatology ASC LLC in Tyler, TX.
Certificate of Accreditation, effective January 2, 2025, expires January 1, 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 Accreditation
- Certificate effective
- January 2, 2025
- Certificate expiration
- January 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 3, 2003
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- College of American Pathologists (CAP)
- 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
- 45D1011220
- Lab name
- Oliver Street Dermatology ASC LLC
- Additional name
- DBA Dermatology Surgery Center
- Address
- 1367 Dominion Plaza, Tyler, TX 75703
- Phone
- (903) 534-6200
- Fax
- (903) 581-1331
Annual test volume the lab reported
- Waived tests
- 10
- Tests under accreditation
- 4,200
- Total
- 4,210
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Tyler, TX
- Abeldt Enterprises IncCertificate of Waiver, Pharmacy45D2067291
- Adagio Dermatology and Aesthetics PACertificate for Provider-Performed Microscopy Procedures, Physician office45D0995650
- Adaornn NterprisesCertificate of Waiver, Other45D2344639
- Addiction Alternatives for Opiate-Heroin IncCertificate of Waiver, Other45D2042484
- Advanta Genetics LLCCertificate of Accreditation, Independent45D2063134
- Affect Therapeutics, IncCertificate of Waiver, Comprehensive outpatient rehab facility45D2276212
- Ahm Action Home Health LP, D/B/ACertificate of Waiver, Home health agency45D0989305
- Aiding Home Health LLCCertificate of Waiver, Home health agency45D1026377
- Amcare Pro Home Health of East TexasCertificate of Waiver, Home health agency45D1009940
- American Current CareCertificate of Waiver, Physician office45D2070121
Related
Questions
What is the CLIA number for Oliver Street Dermatology ASC LLC in Tyler?
45D1011220, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Oliver Street Dermatology ASC LLC hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 45D1011220 expire?
The CMS file lists January 1, 2027 as the certificate expiration date; the certificate took effect January 2, 2025.