CLIA lab

CLIA 36D0691045: Spencerville Ambulance Service Inc

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

CLIA number 36D0691045 belongs to Spencerville Ambulance Service Inc in Spencerville, 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
October 6, 1994
Facility type
Other
Ownership (control type)
Other
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
36D0691045
Lab name
Spencerville Ambulance Service Inc
Address
111 South Pearl Street, Spencerville, OH 45887
Phone
(419) 647-6369

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.

Other labs in Spencerville, OH

Related

Questions

What is the CLIA number for Spencerville Ambulance Service Inc in Spencerville?

36D0691045, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Spencerville Ambulance Service Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D0691045 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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