CLIA lab
CLIA 36D0912812: Promedica Physicians Port Sylvania
Sylvania, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0912812 belongs to Promedica Physicians Port Sylvania in Sylvania, OH.
Certificate of Waiver, effective May 5, 2026, expires May 4, 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
- May 5, 2026
- Certificate expiration
- May 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 13, 1996
- 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
- 36D0912812
- Lab name
- Promedica Physicians Port Sylvania
- Additional name
- Family Physicians
- Address
- 5700 Monroe Street Suite 203, Sylvania, OH 43560
- Phone
- (419) 843-8108
- Fax
- (419) 841-4681
Annual test volume the lab reported
- Waived tests
- 1,450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- DRS Smith Szabo and Valade LTDCertificate for Provider-Performed Microscopy Procedures, Physician office36D0697814
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- Flower DialysisCertificate of Waiver, End stage renal disease dialysis facility36D2012913
- Flower Hospital Main Lab A DivisionCertificate of Accreditation, Hospital36D0655902
- Flower Hospital Poc Lab A DivisionCertificate for Provider-Performed Microscopy Procedures, Hospital36D0681746
Related
Questions
What is the CLIA number for Promedica Physicians Port Sylvania in Sylvania?
36D0912812, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Promedica Physicians Port Sylvania hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0912812 expire?
The CMS file lists May 4, 2028 as the certificate expiration date; the certificate took effect May 5, 2026.