CLIA lab
CLIA 45D1105005: Bayside Dermatology, PA
Granbury, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D1105005 belongs to Bayside Dermatology, PA in Granbury, TX.
Certificate for Provider-Performed Microscopy Procedures, effective September 15, 2025, expires September 14, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 15, 2025
- Certificate expiration
- September 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2009
- 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
- 45D1105005
- Lab name
- Bayside Dermatology, PA
- Address
- 1321 Waters Edge Drive, Suite 1006, Granbury, TX 76048
- Phone
- (817) 573-1800
Annual test volume the lab reported
- Provider-performed microscopy tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Autumn Ridge Senior Living, IncCertificate of Waiver, Assisted living facility45D2205548
- Avir at GranburyCertificate of Waiver, Skilled nursing or nursing facility45D1070048
- Avir at PaluxyCertificate of Waiver, Skilled nursing or nursing facility45D0689565
- Aviva GranburyCertificate of Waiver, Assisted living facility45D2211746
- Best Value Ron's PharmacyCertificate of Waiver, Pharmacy45D0935365
- Brazos Pregnancy Center, IncCertificate of Waiver, Other45D2004296
- C G Laboratories IncCertificate of Compliance, Independent45D0954953
Related
Questions
What is the CLIA number for Bayside Dermatology, PA in Granbury?
45D1105005, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bayside Dermatology, PA hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 45D1105005 expire?
The CMS file lists September 14, 2027 as the certificate expiration date; the certificate took effect September 15, 2025.