CLIA lab
CLIA 36D0999090: Tri -Division Ambulance District
East Sparta, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0999090 belongs to Tri -Division Ambulance District in East Sparta, OH.
Certificate of Waiver, effective May 3, 2026, expires May 2, 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
- May 3, 2026
- Certificate expiration
- May 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 2002
- Facility type
- Ambulance
- Ownership (control type)
- Other
- 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
- 36D0999090
- Lab name
- Tri -Division Ambulance District
- Address
- 9333 Main Avenue SE, East Sparta, OH 44626
- Phone
- (330) 866-9193
- Fax
- (330) 866-9523
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Tri -Division Ambulance District in East Sparta?
36D0999090, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri -Division Ambulance District hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0999090 expire?
The CMS file lists May 2, 2028 as the certificate expiration date; the certificate took effect May 3, 2026.