CLIA lab

CLIA 36D1100270: Glenn R Black MD

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

CLIA number 36D1100270 belongs to Glenn R Black MD in Barberton, OH.

Certificate of Waiver, effective March 21, 2026, expires March 20, 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 21, 2026
Certificate expiration
March 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 3, 2009
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
36D1100270
Lab name
Glenn R Black MD
Address
103 5th Street SE, Suite S, Barberton, OH 44203
Phone
(330) 753-5863
Fax
(330) 753-9838

Annual test volume the lab reported

Waived tests
12

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 Glenn R Black MD in Barberton?

36D1100270, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Glenn R Black MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D1100270 expire?

The CMS file lists March 20, 2028 as the certificate expiration date; the certificate took effect March 21, 2026.

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