CLIA lab

CLIA 36D0681174: Promedica Physicians Family Medicine

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

CLIA number 36D0681174 belongs to Promedica Physicians Family Medicine in Perrysburg, OH.

Certificate of Waiver, effective November 24, 2025, expires November 23, 2027.

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
November 24, 2025
Certificate expiration
November 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 19, 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
36D0681174
Lab name
Promedica Physicians Family Medicine
Address
1620 Brigham Drive, Suite 220, Perrysburg, OH 43551
Phone
(419) 893-3321
Fax
(419) 897-1316

Annual test volume the lab reported

Waived tests
1,450

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 Family Medicine in Perrysburg?

36D0681174, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Promedica Physicians Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D0681174 expire?

The CMS file lists November 23, 2027 as the certificate expiration date; the certificate took effect November 24, 2025.

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