CLIA lab
CLIA 36D1048069: Fountain Park Home Care, LLC
Van Wert, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1048069 belongs to Fountain Park Home Care, LLC in Van Wert, OH.
Certificate of Waiver, effective November 21, 2025, expires November 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
- November 21, 2025
- Certificate expiration
- November 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 21, 2005
- Facility type
- Home health agency
- 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
- 36D1048069
- Lab name
- Fountain Park Home Care, LLC
- Address
- 1112 S Washington St, Van Wert, OH 45891
- Phone
- (419) 238-3133
- Fax
- (419) 238-1625
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Fountain Park Home Care, LLCCMS Care Compare ratings for the facility at the same street address
Other labs in Van Wert, OH
- Allcare Health & HealingCertificate of Waiver, Other practitioner36D2290867
- Angel Intervention Services LLCCertificate of Waiver, Independent36D2131233
- Community Health Professional IncCertificate for Provider-Performed Microscopy Procedures, Rural health clinic36D0351923
- Family Health Care of Northwest OhioCertificate of Waiver, Community clinic36D1069118
- Hearth & Home of Van WertCertificate of Waiver, Assisted living facility36D2018648
- Hometown Family PracticeCertificate of Waiver, Other practitioner36D2201119
- Lmhs Specialists at Van WertCertificate of Waiver, Physician office36D2118589
- Marathon Health, Van Wert OhCertificate of Waiver, Physician office36D2126666
- Ohiohealth Physician GroupCertificate for Provider-Performed Microscopy Procedures, Physician office36D1018323
- PLC Health ClinicCertificate of Waiver, Community clinic36D2124760
Related
Questions
What is the CLIA number for Fountain Park Home Care, LLC in Van Wert?
36D1048069, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fountain Park Home Care, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1048069 expire?
The CMS file lists November 20, 2027 as the certificate expiration date; the certificate took effect November 21, 2025.