CLIA lab

CLIA 36D0936904: Miami Valley Hospital North

Englewood, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 36D0936904 belongs to Miami Valley Hospital North in Englewood, OH.

Certificate of Waiver, effective April 1, 2026, expires March 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
April 1, 2026
Certificate expiration
March 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 4, 1997
Facility type
Ancillary test site
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
36D0936904
Lab name
Miami Valley Hospital North
Address
9000 North Main Street, Englewood, OH 45415
Phone
(937) 297-8354
Fax
(937) 734-8242

Annual test volume the lab reported

Waived tests
48,750

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Englewood, OH

Related

Questions

What is the CLIA number for Miami Valley Hospital North in Englewood?

36D0936904, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Miami Valley Hospital North hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D0936904 expire?

The CMS file lists March 31, 2028 as the certificate expiration date; the certificate took effect April 1, 2026.

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