CLIA lab
CLIA 36D1017593: Providence Medical Group
Germantown, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1017593 belongs to Providence Medical Group in Germantown, OH.
Certificate of Waiver, effective May 9, 2026, expires May 8, 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 9, 2026
- Certificate expiration
- May 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2003
- 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
- 36D1017593
- Lab name
- Providence Medical Group
- Additional name
- PMG Germantown
- Address
- 2320 Beechwood Drive, Germantown, OH 45327
- Phone
- (937) 297-8999
- Fax
- (937) 297-2367
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Germantown, OH
Related
Questions
What is the CLIA number for Providence Medical Group in Germantown?
36D1017593, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1017593 expire?
The CMS file lists May 8, 2028 as the certificate expiration date; the certificate took effect May 9, 2026.