CLIA lab
CLIA 36D0887692: Great Trail Family Practice
Minerva, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0887692 belongs to Great Trail Family Practice in Minerva, OH.
Certificate for Provider-Performed Microscopy Procedures, effective June 16, 2026, expires June 15, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 16, 2026
- Certificate expiration
- June 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 16, 1994
- 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
- 36D0887692
- Lab name
- Great Trail Family Practice
- Address
- 1028 East Lincolnway, Minerva, OH 44657
- Phone
- (330) 868-6044
- Fax
- (330) 634-1329
Annual test volume the lab reported
- Waived tests
- 1,500
- Provider-performed microscopy tests
- 3,000
- Total
- 4,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Minerva Opco, LLCCertificate of Waiver, Skilled nursing or nursing facility36D0667320
- Minerva Pharmacy IncCertificate of Waiver, Pharmacy36D0960793
- Minerva Rehabilitation andCertificate of Waiver, Skilled nursing or nursing facility36D0342987
- Premier Health AssociatesCertificate of Waiver, Physician office36D0993556
- ST Luke Lutheran Community - MinervaCertificate of Waiver, Assisted living facility36D2199620
- Sandy Creek Joint Fire DistrictCertificate of Waiver, Ambulance36D1010838
Related
Questions
What is the CLIA number for Great Trail Family Practice in Minerva?
36D0887692, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Great Trail Family Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 36D0887692 expire?
The CMS file lists June 15, 2028 as the certificate expiration date; the certificate took effect June 16, 2026.