CLIA lab
CLIA 36D2057540: Grand Lake Pediatric Center
Saint Marys, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2057540 belongs to Grand Lake Pediatric Center in Saint Marys, OH.
Certificate of Waiver, effective April 18, 2025, expires April 17, 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
- April 18, 2025
- Certificate expiration
- April 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 18, 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
- 36D2057540
- Lab name
- Grand Lake Pediatric Center
- Address
- 1010 Hager Street, Saint Marys, OH 45885
- Phone
- (419) 394-9959
- Fax
- (419) 394-0255
Annual test volume the lab reported
- Waived tests
- 1,794
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Saint Marys, OH
Related
Questions
What is the CLIA number for Grand Lake Pediatric Center in Saint Marys?
36D2057540, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Lake Pediatric Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2057540 expire?
The CMS file lists April 17, 2027 as the certificate expiration date; the certificate took effect April 18, 2025.