CLIA lab
CLIA 36D1052073: Promedica 360health
Fremont, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1052073 belongs to Promedica 360health in Fremont, OH.
Certificate of Waiver, effective March 16, 2026, expires March 15, 2028.
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
- March 16, 2026
- Certificate expiration
- March 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 16, 2006
- Facility type
- Other
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D1052073
- Lab name
- Promedica 360health
- Address
- 710 Cleveland Ave, Fremont, OH 43420
- Phone
- (419) 334-6657
- Fax
- (419) 334-6637
Annual test volume the lab reported
- Waived tests
- 5,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Clara M Schermerhorn MDCertificate of Waiver, Physician office36D0330992
- Community Health ServicesCertificate of Waiver, Federally qualified health center36D0331024
- Countryside Manor Nursing and Rehab LLCCertificate of Waiver, Skilled nursing or nursing facility36D0723403
- Crown Battery Manufacturing CompanyCertificate of Waiver, Industrial36D2055607
- Dialysis Centers of Northwest Ohio LTDCertificate of Waiver, End stage renal disease dialysis facility36D0983007
- Elmwood of FremontCertificate of Waiver, Other36D0941280
- Everside Health Center - FremontCertificate of Waiver, Physician office36D2276922
Related
Questions
What is the CLIA number for Promedica 360health in Fremont?
36D1052073, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Promedica 360health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1052073 expire?
The CMS file lists March 15, 2028 as the certificate expiration date; the certificate took effect March 16, 2026.