CLIA lab
CLIA 36D0944729: Maple Leaf Family & Sports Medicine LLC
Bellefontaine, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0944729 belongs to Maple Leaf Family & Sports Medicine LLC in Bellefontaine, OH.
Certificate of Waiver, effective February 1, 2026, expires January 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
- February 1, 2026
- Certificate expiration
- January 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 20, 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
- 36D0944729
- Lab name
- Maple Leaf Family & Sports Medicine LLC
- Address
- 2211 Timber Trail, Bellefontaine, OH 43311
- Phone
- (937) 592-3808
- Fax
- (937) 593-8404
Annual test volume the lab reported
- Waived tests
- 3,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bellefontaine, OH
- Belle Springs Care CenterCertificate of Waiver, Skilled nursing or nursing facility36D0726542
- Bellefontaine Fire DepartmentCertificate of Waiver, Ambulance36D1010510
- Calvary Christian SchoolCertificate of Waiver, School or student health service36D2321808
- Campbell PlaceCertificate of Waiver, Assisted living facility36D2063389
- Community Health & WellnessCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center36D2147414
- Costin Family Practice IncCertificate of Waiver, Physician office36D0717102
- Family Urgent CareCertificate of Waiver, Other36D2131881
- Hickory Medical Direct Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office36D2105608
- High Point Home Health LTDCertificate of Waiver, Home health agency36D0999657
- Highpoint Mental Health LLCCertificate of Waiver, Other practitioner36D2319871
Related
Questions
What is the CLIA number for Maple Leaf Family & Sports Medicine LLC in Bellefontaine?
36D0944729, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maple Leaf Family & Sports Medicine LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0944729 expire?
The CMS file lists January 31, 2028 as the certificate expiration date; the certificate took effect February 1, 2026.