CLIA lab

CLIA 36D1062943: Challa Ajit MD LLC

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

CLIA number 36D1062943 belongs to Challa Ajit MD LLC in Springfield, OH.

Certificate of Waiver, effective January 2, 2025, expires January 1, 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
January 2, 2025
Certificate expiration
January 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 2, 2007
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
36D1062943
Lab name
Challa Ajit MD LLC
Address
2355 Derr Road, Springfield, OH 45503
Phone
(937) 568-7070
Fax
(937) 322-7796

Annual test volume the lab reported

Waived tests
250

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

Other labs in Springfield, OH

Related

Questions

What is the CLIA number for Challa Ajit MD LLC in Springfield?

36D1062943, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Challa Ajit MD LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D1062943 expire?

The CMS file lists January 1, 2027 as the certificate expiration date; the certificate took effect January 2, 2025.

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