CLIA lab
CLIA 36D0703215: Champion Primary Care
Warren, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0703215 belongs to Champion Primary Care in Warren, 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
- June 19, 1995
- 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
- 36D0703215
- Lab name
- Champion Primary Care
- Address
- 5901 Mahoning Avenue NW, Warren, OH 44483
- Phone
- (330) 847-9911
- Fax
- (330) 847-3100
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Axesspointe Community Health Center - VCS AdultCertificate of Waiver, Federally qualified health center36D2273971
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Related
Questions
What is the CLIA number for Champion Primary Care in Warren?
36D0703215, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Champion Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0703215 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.