CLIA lab
CLIA 36D0870850: Providence Medical Group Inc DBA
Centerville, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0870850 belongs to Providence Medical Group Inc DBA in Centerville, 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
- May 26, 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
- 36D0870850
- Lab name
- Providence Medical Group Inc DBA
- Additional name
- Contemporary Pediatrics
- Address
- 1516 Yankee Park Place, Centerville, OH 45458
- Phone
- (937) 438-1115
- Fax
- (937) 438-1291
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Centerville, OH
- American Dermatopathology LaboratoryCertificate of Compliance, Independent36D2072045
- Amy Brenner MD & AssociatesCertificate of Waiver, Physician office36D2328868
- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2344279
- Associated Specialists of InternalCertificate of Waiver, Physician office36D0957368
- Austin Trace Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility36D2155527
- Bethany VillageCertificate of Waiver, Assisted living facility36D0688379
- Centerville Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office36D0034023
- Centerville Post AcuteCertificate of Waiver, Skilled nursing or nursing facility36D0931410
- Centerville Primary CareCertificate of Waiver, Prison36D2308862
- Cincinnati Children's Hospital CentervilleCertificate of Waiver, Physician office36D2274286
Related
Questions
What is the CLIA number for Providence Medical Group Inc DBA in Centerville?
36D0870850, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Group Inc DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0870850 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.