CLIA lab
CLIA 36D2017658: Interventional Spine & Pain Rehabilitation
Mansfield, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2017658 belongs to Interventional Spine & Pain Rehabilitation in Mansfield, OH.
Certificate of Waiver, effective December 15, 2024, expires December 14, 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
- December 15, 2024
- Certificate expiration
- December 14, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 15, 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
- 36D2017658
- Lab name
- Interventional Spine & Pain Rehabilitation
- Additional name
- Center, LTD
- Address
- 1221 S Trimble Road, Suite B1, Mansfield, OH 44907
- Phone
- (419) 522-1100
- Fax
- (419) 522-4118
Annual test volume the lab reported
- Waived tests
- 150
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 Interventional Spine & Pain Rehabilitation in Mansfield?
36D2017658, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Interventional Spine & Pain Rehabilitation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2017658 expire?
The CMS file lists December 14, 2026 as the certificate expiration date; the certificate took effect December 15, 2024.