CLIA lab
CLIA 36D0930435: Hollowood House
Brunswick, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0930435 belongs to Hollowood House in Brunswick, OH.
Certificate of Waiver, effective July 15, 2025, expires July 14, 2027.
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
- July 15, 2025
- Certificate expiration
- July 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 15, 1997
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D0930435
- Lab name
- Hollowood House
- Address
- 3717 Alesia Kae Drive, Brunswick, OH 44212
- Phone
- (330) 273-5494
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Brunswick, OH
- Applewood HouseCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities36D0865415
- BBN ClinicCertificate of Waiver, Physician office36D2059534
- Brunswick Family Medicine IncCertificate of Waiver, Physician office36D1003076
- Brunswick Medical Center EmergencyCertificate of Accreditation, Other36D1085175
- Brunswick PointeCertificate of Waiver, Skilled nursing or nursing facility36D2137909
- Brunswick Pointe Transitional CareCertificate of Compliance, Skilled nursing or nursing facility36D0895915
- Brunswick Senior Living LLCCertificate of Waiver, Assisted living facility36D2140041
- City of Brunswick, Division of FireCertificate of Waiver, Ambulance36D0910093
- Cleveland Clinic Brunswick Family HealthCertificate of Accreditation, Ambulatory surgery center36D2077701
- Dayton Gastroenterology, LLCCertificate of Waiver, Physician office36D0340054
Related
Questions
What is the CLIA number for Hollowood House in Brunswick?
36D0930435, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hollowood House hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0930435 expire?
The CMS file lists July 14, 2027 as the certificate expiration date; the certificate took effect July 15, 2025.