36D2174852 CLIA NUMBER - GRAY DERMATOLOGY & COSMETIC SURGERY OF LIMA

Laboratory Demographics

  • CLIA Code: 36D2174852
  • Facility Name: GRAY DERMATOLOGY & COSMETIC SURGERY OF LIMA
  • Facility Address: 1005 BELLEFONTAINE AVE, SUITE 300
    LIMA, OH
    ZIP 45804
  • Facility Phone: 419 998-8297
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BRYAN D. GRAY
  • NPI Number: 1104392679
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 36D2174852
LAB Type Physician Office
Facility Name GRAY DERMATOLOGY & COSMETIC SURGERY OF LIMA
Street 1005 BELLEFONTAINE AVE, SUITE 300
City LIMA
State OH
ZIP 45804
Phone 419 998-8297
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director DR. BRYAN D. GRAY

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This page was last updated on: 9/29/2025