CLIA lab

CLIA 36D0987223: Promedica Physicians Defiance Internal

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

CLIA number 36D0987223 belongs to Promedica Physicians Defiance Internal in Defiance, OH.

Certificate of Waiver, effective May 31, 2025, expires May 30, 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
May 31, 2025
Certificate expiration
May 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 31, 2001
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
36D0987223
Lab name
Promedica Physicians Defiance Internal
Additional name
Medicine
Address
1250 Ralston Avenue Suite 202, Defiance, OH 43512
Phone
(419) 784-2776
Fax
(419) 782-6899

Annual test volume the lab reported

Waived tests
4,900

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

Other labs in Defiance, OH

Related

Questions

What is the CLIA number for Promedica Physicians Defiance Internal in Defiance?

36D0987223, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Promedica Physicians Defiance Internal hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D0987223 expire?

The CMS file lists May 30, 2027 as the certificate expiration date; the certificate took effect May 31, 2025.

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