CLIA lab
CLIA 36D1054105: Providence Health Partners Center for
Moraine, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1054105 belongs to Providence Health Partners Center for in Moraine, OH.
Certificate of Waiver, effective May 11, 2026, expires May 10, 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
- May 11, 2026
- Certificate expiration
- May 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 11, 2006
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 36D1054105
- Lab name
- Providence Health Partners Center for
- Additional name
- Clinical Research
- Address
- 2912 Springboro West Suite 200, Moraine, OH 45439
- Phone
- (937) 297-8988
- Fax
- (937) 298-9673
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Compunet Clinical LabsCertificate of Accreditation, Independent36D0350049
- Dmax LTD Medical DeptCertificate of Waiver, Other36D1033319
- EMS Team, LLCCertificate of Waiver, Ambulance36D2252651
- FVC Dayton, LLCCertificate of Waiver, Physician office36D2261265
- Fresenius Vascular Care Dayton ASCCertificate of Waiver, Ambulatory surgery center36D2252881
- Guardian Angel Home Care ofCertificate of Waiver, Home health agency36D1100616
- Health at Home Hospice-Dayton, LLCCertificate of Waiver, Hospice36D2048928
- Onsite Innovations Medical ClinicCertificate of Waiver, Physician office36D2156623
Related
Questions
What is the CLIA number for Providence Health Partners Center for in Moraine?
36D1054105, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Health Partners Center for hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1054105 expire?
The CMS file lists May 10, 2028 as the certificate expiration date; the certificate took effect May 11, 2026.