CLIA lab
CLIA 36D0988755: Fallen Timbers Internal Medicine LLC
Maumee, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0988755 belongs to Fallen Timbers Internal Medicine LLC in Maumee, OH.
Certificate of Waiver, effective July 9, 2025, expires July 8, 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
- July 9, 2025
- Certificate expiration
- July 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 9, 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
- 36D0988755
- Lab name
- Fallen Timbers Internal Medicine LLC
- Address
- 6450 Wheatstone Ct, Maumee, OH 43537
- Phone
- (419) 897-9980
- Fax
- (419) 893-8275
Annual test volume the lab reported
- Waived tests
- 8,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Fallen Timbers Internal Medicine LLC in Maumee?
36D0988755, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fallen Timbers Internal Medicine LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0988755 expire?
The CMS file lists July 8, 2027 as the certificate expiration date; the certificate took effect July 9, 2025.