CLIA lab
CLIA 36D0656247: Grand Lake Family Practice & Pediatrics
Celina, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0656247 belongs to Grand Lake Family Practice & Pediatrics in Celina, OH.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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 of Waiver
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 14, 1993
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 36D0656247
- Lab name
- Grand Lake Family Practice & Pediatrics
- Address
- 801 Pro Drive Ste D1, Celina, OH 45822
- Phone
- (419) 738-4445
- Fax
- (419) 738-4601
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Celina, OH
- Celina City SchoolsCertificate of Waiver, School or student health service36D2320415
- Celina Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility36D0990989
- Celina ManorCertificate of Waiver, Skilled nursing or nursing facility36D0351560
- Community Medical CenterCertificate of Accreditation, Community clinic36D0351562
- Fresenius Kidney Care CelinaCertificate of Waiver, End stage renal disease dialysis facility36D1088819
- Gardens at CelinaCertificate of Waiver, Assisted living facility36D2210098
- Grand Lake Ob/GynCertificate of Waiver, Physician office36D2309522
- Grand Lake PediatricsCertificate of Waiver, Physician office36D2310108
- Lmhs Specialists at CelinaCertificate for Provider-Performed Microscopy Procedures, Physician office36D2138457
- Mercer County Health DistrictCertificate of Waiver, Community clinic36D0723763
Related
Questions
What is the CLIA number for Grand Lake Family Practice & Pediatrics in Celina?
36D0656247, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Lake Family Practice & Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0656247 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.