CLIA lab
CLIA 36D0669865: Promedica Physicians Maumee
Maumee, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0669865 belongs to Promedica Physicians Maumee in Maumee, OH.
Certificate for Provider-Performed Microscopy Procedures, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 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
- 36D0669865
- Lab name
- Promedica Physicians Maumee
- Additional name
- Obstetrics/Gynecology
- Address
- 660 Beaver Creek Circle Suite 200, Maumee, OH 43537
- Phone
- (419) 891-6201
Annual test volume the lab reported
- Waived tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Promedica Physicians Maumee in Maumee?
36D0669865, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Promedica Physicians Maumee hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 36D0669865 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.