CLIA lab
CLIA 36D2054545: Simona L Moore CNP LLC
Mount Vernon, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2054545 belongs to Simona L Moore CNP LLC in Mount Vernon, OH.
Certificate of Waiver, effective September 11, 2025, expires September 10, 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
- September 11, 2025
- Certificate expiration
- September 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 25, 2013
- 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
- 36D2054545
- Lab name
- Simona L Moore CNP LLC
- Address
- 206 S Mulberry St Ste A, Mount Vernon, OH 43050
- Phone
- (740) 326-1231
- Fax
- (740) 326-1175
Annual test volume the lab reported
- Waived tests
- 500
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 Simona L Moore CNP LLC in Mount Vernon?
36D2054545, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Simona L Moore CNP LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2054545 expire?
The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.