CLIA lab
CLIA 36D1040749: Lake County Pain and Diagnostic Center
Mentor, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1040749 belongs to Lake County Pain and Diagnostic Center in Mentor, OH.
Certificate of Waiver, effective May 17, 2025, expires May 16, 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 17, 2025
- Certificate expiration
- May 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 17, 2005
- Facility type
- Ambulatory surgery center
- 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
- 36D1040749
- Lab name
- Lake County Pain and Diagnostic Center
- Address
- 8401 Mentor Avenue Suite A, Mentor, OH 44060
- Phone
- (440) 205-0080
- Fax
- (440) 205-1820
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Biolife Plasma Services, LPCertificate of Compliance, Other36D2049287
- Birthright Lake, IncCertificate of Waiver, Other36D0875564
- Brookdale MentorCertificate of Waiver, Assisted living facility36D0963941
- C H Everett ClinicCertificate of Waiver, Federally qualified health center36D2177364
- CDC Homecare - MentorCertificate of Waiver, End stage renal disease dialysis facility36D2093880
- Canterbury House Direct Primary CareCertificate of Waiver, Physician office36D2342836
Related
Questions
What is the CLIA number for Lake County Pain and Diagnostic Center in Mentor?
36D1040749, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake County Pain and Diagnostic Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1040749 expire?
The CMS file lists May 16, 2027 as the certificate expiration date; the certificate took effect May 17, 2025.