CLIA lab
CLIA 36D0678074: Kings Daughters Medical Specialties
Wheelersburg, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0678074 belongs to Kings Daughters Medical Specialties in Wheelersburg, 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
- December 14, 1992
- Facility type
- Physician office
- Ownership (control type)
- Government, state
- 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
- 36D0678074
- Lab name
- Kings Daughters Medical Specialties
- Additional name
- DR David Provaznik DO
- Address
- 11826 Gallia Pike, Suite A, Wheelersburg, OH 45694
- Phone
- (740) 574-4526
- Fax
- (740) 574-2895
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2344310
- Best Care Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility36D0351060
- Cares EMSCertificate of Waiver, Ambulance36D2285471
- Collier Medical ServicesCertificate of Waiver, Other36D2193612
- Community Choice Home Care IncCertificate of Waiver, Home health agency36D0929716
- Courtyard at Wheelersburg, theCertificate of Waiver, Assisted living facility36D2047544
- King's Daughters Family Care CenterCertificate of Waiver, Community clinic36D0946763
- Kroger Pharmacy #664Certificate of Waiver, Pharmacy36D2038203
Related
Questions
What is the CLIA number for Kings Daughters Medical Specialties in Wheelersburg?
36D0678074, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kings Daughters Medical Specialties hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0678074 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.