CLIA lab
CLIA 36D0938844: Providence Medical Group
Vandalia, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0938844 belongs to Providence Medical Group in Vandalia, OH.
Certificate of Waiver, effective June 7, 2025, expires June 6, 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
- June 7, 2025
- Certificate expiration
- June 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 15, 1998
- 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
- 36D0938844
- Lab name
- Providence Medical Group
- Address
- 400 Corporate Center Drive, Vandalia, OH 45377
- Phone
- (937) 297-8999
- Fax
- (937) 297-2367
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Gebhart's Concierge and Consults LLCCertificate for Provider-Performed Microscopy Procedures, Physician office36D2170516
- Hocks Vandalia PharmacyCertificate of Waiver, Pharmacy36D0941264
- Horizon Home HealthcareCertificate of Waiver, Home health agency36D1021210
- James E Wilcher DO & Sal A D'Allura DOCertificate of Waiver, Physician office36D0955470
- Kettering Health Medical GroupCertificate of Waiver, Physician office36D2141111
- Kids Express - VandaliaCertificate of Waiver, Ancillary test site36D2335748
- Kroger Pharmacy 014-747Certificate of Waiver, Pharmacy36D1050359
Related
Questions
What is the CLIA number for Providence Medical Group in Vandalia?
36D0938844, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0938844 expire?
The CMS file lists June 6, 2027 as the certificate expiration date; the certificate took effect June 7, 2025.