CLIA lab

CLIA 36D1036971: Promedica Physicians Genito-Urinary Surgeons

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

CLIA number 36D1036971 belongs to Promedica Physicians Genito-Urinary Surgeons in Fremont, OH.

Certificate of Waiver, effective October 1, 2025, expires September 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
October 1, 2025
Certificate expiration
September 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 11, 2005
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
36D1036971
Lab name
Promedica Physicians Genito-Urinary Surgeons
Address
605 3rd Avenue, Fremont, OH 43420
Phone
(419) 332-7221
Fax
(419) 332-7225

Annual test volume the lab reported

Waived tests
1,450

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 Promedica Physicians Genito-Urinary Surgeons in Fremont?

36D1036971, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Promedica Physicians Genito-Urinary Surgeons hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D1036971 expire?

The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.

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