CLIA lab
CLIA 36D1091674: Villa of Great Northern
Fairview Park, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1091674 belongs to Villa of Great Northern in Fairview Park, OH.
Certificate of Waiver, effective November 6, 2024, expires November 5, 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
- November 6, 2024
- Certificate expiration
- November 5, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 6, 2008
- Facility type
- End stage renal disease dialysis facility
- 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
- 36D1091674
- Lab name
- Villa of Great Northern
- Address
- 22710 Fairview Center Drive, Fairview Park, OH 44126
- Phone
- (440) 734-4630
- Fax
- (440) 734-4659
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Villa of Great NorthernCMS Care Compare ratings for the facility at the same street address
Other labs in Fairview Park, OH
- Alternate Solutions Home CareCertificate of Waiver, Home health agency36D1086294
- CDC Physicians OrganizationCertificate of Waiver, Physician office36D2086639
- CDC Physicians OrganizationCertificate of Waiver, Physician office36D2086640
- CDC Westside Home CareCertificate of Waiver, End stage renal disease dialysis facility36D2141395
- Cleveland Eye and Laser Surgery Center LLCCertificate of Waiver, Ambulatory surgery center36D1071925
- Fairview Eye CenterCertificate of Waiver, Physician office36D2055885
- Fairview Park Fire DepartmentCertificate of Waiver, Mobile lab36D0900993
- Garnett Health Campus DBA O'Neill HealthcareCertificate of Waiver, Skilled nursing or nursing facility36D2063642
- Med Consults IncCertificate of Waiver, Physician office36D0872449
- Southwest General Home CareCertificate of Waiver, Home health agency36D2324722
Related
Questions
What is the CLIA number for Villa of Great Northern in Fairview Park?
36D1091674, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Villa of Great Northern hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1091674 expire?
The CMS file lists November 5, 2026 as the certificate expiration date; the certificate took effect November 6, 2024.