CLIA lab
CLIA 45D2161083: Deramed Specialty Pharmacy
Mansfield, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2161083 belongs to Deramed Specialty Pharmacy in Mansfield, TX.
Certificate of Waiver, effective January 25, 2025, expires January 24, 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
- January 25, 2025
- Certificate expiration
- January 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 2019
- Facility type
- Pharmacy
- 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
- 45D2161083
- Lab name
- Deramed Specialty Pharmacy
- Address
- 1001 Matlock Rd Suite 105, Mansfield, TX 76063
- Phone
- (817) 381-3861
- Fax
- (817) 381-3861
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 608 S Parkridge DriveCertificate of Waiver, Other45D2199071
- A Brightstart Services, IncCertificate of Waiver, Hospice45D2236187
- A Graceful Touch HealthcareCertificate of Waiver, Home health agency45D2323535
- Access Wellness ResourcesCertificate of Waiver, Physician office45D2272196
- Advanced Institute for Diabetes & EndocrinologyCertificate of Waiver, Physician office45D2277899
- Ameripath Texas Inc- Baylor SurgicareCertificate of Compliance, Independent45D1093136
- Arlington Physicians, PACertificate of Waiver, Physician office45D1102888
- Baylor Scott & White Primary Care MansfieldCertificate of Waiver, Physician office45D2134862
- Baylor Scott & White Surgicare - MansfieldCertificate of Waiver, Ambulatory surgery center45D1092860
Related
Questions
What is the CLIA number for Deramed Specialty Pharmacy in Mansfield?
45D2161083, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Deramed Specialty Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2161083 expire?
The CMS file lists January 24, 2027 as the certificate expiration date; the certificate took effect January 25, 2025.