CLIA lab
CLIA 36D1048599: Kenton Family Practice LLC
Kenton, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1048599 belongs to Kenton Family Practice LLC in Kenton, OH.
Certificate of Waiver, effective December 6, 2025, expires December 5, 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
- December 6, 2025
- Certificate expiration
- December 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 6, 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
- 36D1048599
- Lab name
- Kenton Family Practice LLC
- Address
- 75 Washington Blvd Suite 101, Kenton, OH 43326
- Phone
- (419) 675-1962
- Fax
- (419) 673-8058
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.
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- Lighthouse Behavioral HealthCertificate of Waiver, Other36D2240436
- Lima Memorial Health System-Kenton Medical CenterCertificate of Waiver, Physician office36D2085600
- Mary Rutan Kenton Health CenterCertificate of Waiver, Physician office36D2280199
- Ohiohealth Hardin MemorialCertificate of Accreditation, Other36D0330757
- Ohiohealth Primary Care PhysiciansCertificate for Provider-Performed Microscopy Procedures, Physician office36D0902681
- Walmart Pharmacy 10- 5355Certificate of Waiver, Pharmacy36D2129348
Related
Questions
What is the CLIA number for Kenton Family Practice LLC in Kenton?
36D1048599, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kenton Family Practice LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1048599 expire?
The CMS file lists December 5, 2027 as the certificate expiration date; the certificate took effect December 6, 2025.