CLIA lab
CLIA 36D1043355: Premium Pediatrics Inc
Niles, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1043355 belongs to Premium Pediatrics Inc in Niles, OH.
Certificate of Waiver, effective July 21, 2025, expires July 20, 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 21, 2025
- Certificate expiration
- July 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 21, 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
- 36D1043355
- Lab name
- Premium Pediatrics Inc
- Address
- 918 Youngstown Warren Road, Suite C, Niles, OH 44446
- Phone
- (330) 652-3100
- Fax
- (330) 652-1231
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Niles, OH
- Alcoa - NilesCertificate of Waiver, Industrial36D2115430
- Comprehensive Care for Women of the MahoningCertificate of Waiver, Physician office36D2003656
- Continuing Healthcare Grace Woods NilesCertificate of Waiver, Skilled nursing or nursing facility36D2195018
- Giant Eagle Pharmacy #1405Certificate of Waiver, Pharmacy36D2188332
- Joseph A Potocki DO IncCertificate of Waiver, Physician office36D0341386
- Mercy Health Niles Primary CareCertificate of Waiver, Physician office36D0341406
- Mercy Health ST George Primary CareCertificate of Waiver, Physician office36D1107832
- Minuteclinic Diagnostic of Ohio LLCCertificate of Waiver, Other36D2062064
- Minuteclinic Primary Care-Ohio, LLC #28459Certificate of Waiver, Other36D2321116
- New Day Recovery, LLCCertificate of Waiver, Other36D2140820
Related
Questions
What is the CLIA number for Premium Pediatrics Inc in Niles?
36D1043355, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premium Pediatrics Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1043355 expire?
The CMS file lists July 20, 2027 as the certificate expiration date; the certificate took effect July 21, 2025.