CLIA lab
CLIA 36D2009582: Promedica Physicians Family Medicine
Fostoria, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2009582 belongs to Promedica Physicians Family Medicine in Fostoria, OH.
Certificate of Waiver, effective July 8, 2026, expires July 7, 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
- July 8, 2026
- Certificate expiration
- July 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 8, 2010
- 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
- 36D2009582
- Lab name
- Promedica Physicians Family Medicine
- Additional name
- Fostoria
- Address
- 455 W 4th St Ste 100, Fostoria, OH 44830
- Phone
- (419) 436-6680
- Fax
- (419) 436-6681
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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- Fieldstone Skilled Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility36D0683746
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- Fostoria Community HospitalCertificate of Accreditation, Hospital36D0343977
- Fostoria Community Hospital PocCertificate of Waiver, Hospital36D0941408
- Fostoria Fire DivisionCertificate of Waiver, Ambulance36D2295899
- Fostoria Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office36D2179141
- Good Shepherd HomeCertificate of Waiver, Skilled nursing or nursing facility36D0343981
- Kroger Pharmacy #016856Certificate of Waiver, Pharmacy36D2094968
- Promedica Physicians Genito-UrinaryCertificate of Waiver, Physician office36D2059628
Related
Questions
What is the CLIA number for Promedica Physicians Family Medicine in Fostoria?
36D2009582, 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 36D2009582 expire?
The CMS file lists July 7, 2028 as the certificate expiration date; the certificate took effect July 8, 2026.