CLIA lab
CLIA 45D2159884: Dermasurgery Specialist, PLLC
Grapevine, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2159884 belongs to Dermasurgery Specialist, PLLC in Grapevine, TX.
Certificate of Compliance, effective April 30, 2025, expires April 29, 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
- April 30, 2025
- Certificate expiration
- April 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 28, 2018
- 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
- 45D2159884
- Lab name
- Dermasurgery Specialist, PLLC
- Address
- 2020 West State Highway 114 Suite 340, Grapevine, TX 76051
- Phone
- (817) 410-7700
- Fax
- (817) 410-7720
Annual test volume the lab reported
- Provider-performed microscopy tests
- 100
- Other nonwaived tests
- 1,300
- Total
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Dermasurgery Specialist, PLLC in Grapevine?
45D2159884, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dermasurgery Specialist, PLLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 45D2159884 expire?
The CMS file lists April 29, 2027 as the certificate expiration date; the certificate took effect April 30, 2025.