CLIA lab
CLIA 45D2162604: Epiphany Dermatology, PA
Roanoke, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2162604 belongs to Epiphany Dermatology, PA in Roanoke, TX.
Certificate for Provider-Performed Microscopy Procedures, effective November 6, 2025, expires November 5, 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
- November 6, 2025
- Certificate expiration
- November 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 26, 2019
- 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
- 45D2162604
- Lab name
- Epiphany Dermatology, PA
- Address
- 206 Denton Dr, Roanoke, TX 76262
- Phone
- (682) 237-2271
- Fax
- (682) 237-2274
Annual test volume the lab reported
- Waived tests
- 350
- Provider-performed microscopy tests
- 10
- Total
- 360
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- General Motors Customer Care & AftersalesCertificate of Waiver, Other45D1010923
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- Harvest of Roanoke Assisted Living andCertificate of Waiver, Ancillary test site45D2203800
- Med Southwest, PLLCCertificate of Waiver, Physician office45D2318742
- Minuteclinic Diagnostic of Texas, PLLCCertificate of Waiver, Other45D2079297
- Minuteclinic Primary Care-Texas, PLLC # 28231Certificate of Waiver, Other45D2323265
Related
Questions
What is the CLIA number for Epiphany Dermatology, PA in Roanoke?
45D2162604, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Epiphany Dermatology, PA hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 45D2162604 expire?
The CMS file lists November 5, 2027 as the certificate expiration date; the certificate took effect November 6, 2025.