CLIA lab

CLIA 36D0698142: Roselawn Manor

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

CLIA number 36D0698142 belongs to Roselawn Manor 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
January 5, 1993
Facility type
Skilled nursing or nursing facility
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
36D0698142
Lab name
Roselawn Manor
Address
420 East Fourth Street, Spencerville, OH 45887
Phone
(419) 647-4115

Annual test volume the lab reported

Waived tests
6,212

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

  • Roselawn ManorCMS Care Compare ratings for the facility at the same street address

Other labs in Spencerville, OH

Related

Questions

What is the CLIA number for Roselawn Manor in Spencerville?

36D0698142, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Roselawn Manor hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D0698142 expire?

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

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