CLIA lab
CLIA 36D0880843: Mary Rutan Pediatrics
Bellefontaine, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0880843 belongs to Mary Rutan Pediatrics in Bellefontaine, OH.
Certificate of Waiver, effective August 11, 2026, expires August 10, 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
- August 11, 2026
- Certificate expiration
- August 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 27, 1993
- Facility type
- Hospital
- Ownership (control type)
- Private
- 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
- 36D0880843
- Lab name
- Mary Rutan Pediatrics
- Address
- 118 Dowell Avenue, Bellefontaine, OH 43311
- Phone
- (937) 593-5437
- Fax
- (937) 593-0110
Annual test volume the lab reported
- Waived tests
- 3,255
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bellefontaine, OH
- Belle Springs Care CenterCertificate of Waiver, Skilled nursing or nursing facility36D0726542
- Bellefontaine Fire DepartmentCertificate of Waiver, Ambulance36D1010510
- Calvary Christian SchoolCertificate of Waiver, School or student health service36D2321808
- Campbell PlaceCertificate of Waiver, Assisted living facility36D2063389
- Community Health & WellnessCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center36D2147414
- Costin Family Practice IncCertificate of Waiver, Physician office36D0717102
- Family Urgent CareCertificate of Waiver, Other36D2131881
- Hickory Medical Direct Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office36D2105608
- High Point Home Health LTDCertificate of Waiver, Home health agency36D0999657
- Highpoint Mental Health LLCCertificate of Waiver, Other practitioner36D2319871
Related
Questions
What is the CLIA number for Mary Rutan Pediatrics in Bellefontaine?
36D0880843, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mary Rutan Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0880843 expire?
The CMS file lists August 10, 2028 as the certificate expiration date; the certificate took effect August 11, 2026.