CLIA lab

CLIA 36D0972140: Brookdale Centennial Park

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

CLIA number 36D0972140 belongs to Brookdale Centennial Park in Englewood, OH.

Certificate of Waiver, effective March 30, 2026, expires March 29, 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
March 30, 2026
Certificate expiration
March 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 30, 2000
Facility type
Other
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
36D0972140
Lab name
Brookdale Centennial Park
Address
350 Union Blvd, Englewood, OH 45322
Phone
(937) 832-8500
Fax
(937) 832-0056

Annual test volume the lab reported

Waived tests
5,500

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

Other labs in Englewood, OH

Related

Questions

What is the CLIA number for Brookdale Centennial Park in Englewood?

36D0972140, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brookdale Centennial Park hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D0972140 expire?

The CMS file lists March 29, 2028 as the certificate expiration date; the certificate took effect March 30, 2026.

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