CLIA lab

CLIA 36D0350228: Providence Medical Group

Centerville, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 36D0350228 belongs to Providence Medical Group in Centerville, OH.

Certificate for Provider-Performed Microscopy Procedures, effective March 27, 2026, expires March 26, 2028.

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
March 27, 2026
Certificate expiration
March 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 4, 1993
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
36D0350228
Lab name
Providence Medical Group
Address
1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459
Phone
(937) 434-7353
Fax
(937) 438-6569

Annual test volume the lab reported

Waived tests
387
Provider-performed microscopy tests
512
Total
899

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Centerville, OH

Related

Questions

What is the CLIA number for Providence Medical Group in Centerville?

36D0350228, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Providence Medical Group hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 36D0350228 expire?

The CMS file lists March 26, 2028 as the certificate expiration date; the certificate took effect March 27, 2026.

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