CLIA lab

CLIA 36D1057269: Promedica Physicians Family Medicine

Rossford, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 36D1057269 belongs to Promedica Physicians Family Medicine in Rossford, OH.

Certificate of Waiver, effective December 1, 2024, expires November 30, 2026.

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 1, 2024
Certificate expiration
November 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
August 8, 2006
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
36D1057269
Lab name
Promedica Physicians Family Medicine
Additional name
Rossford
Address
1215 Grassy Lane, Rossford, OH 43460
Phone
(419) 661-9727
Fax
(419) 661-9730

Annual test volume the lab reported

Waived tests
1,450

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Promedica Physicians Family Medicine in Rossford?

36D1057269, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Promedica Physicians Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D1057269 expire?

The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.

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