CLIA lab
CLIA 36D1100616: Guardian Angel Home Care of
Moraine, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1100616 belongs to Guardian Angel Home Care of in Moraine, OH.
Certificate of Waiver, effective June 9, 2025, expires June 8, 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
- June 9, 2025
- Certificate expiration
- June 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 9, 2009
- Facility type
- Home health agency
- 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
- 36D1100616
- Lab name
- Guardian Angel Home Care of
- Additional name
- Moraine LLC
- Address
- 3055 Kettering Blvd Ste 307, Ste 307, Moraine, OH 45439
- Phone
- (937) 643-3472
- Fax
- (937) 643-3483
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Moraine, OH
- Boldage PaceCertificate of Waiver, Physician office36D2338692
- Cleanslate CentersCertificate of Waiver, Physician office36D2167935
- 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
- Health at Home Hospice-Dayton, LLCCertificate of Waiver, Hospice36D2048928
- Onsite Innovations Medical ClinicCertificate of Waiver, Physician office36D2156623
- Providence Health Partners Center forCertificate of Waiver, Physician office36D1054105
Related
Questions
What is the CLIA number for Guardian Angel Home Care of in Moraine?
36D1100616, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Guardian Angel Home Care of hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1100616 expire?
The CMS file lists June 8, 2027 as the certificate expiration date; the certificate took effect June 9, 2025.