CLIA lab
CLIA 36D2059628: Promedica Physicians Genito-Urinary
Fostoria, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2059628 belongs to Promedica Physicians Genito-Urinary in Fostoria, OH.
Certificate of Waiver, effective May 28, 2025, expires May 27, 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
- May 28, 2025
- Certificate expiration
- May 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 28, 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
- 36D2059628
- Lab name
- Promedica Physicians Genito-Urinary
- Additional name
- Surgeons
- Address
- 501 Van Buren St Ste 203, Med Office Bldg, Specialty Clinic, Fostoria, OH 44830
- Phone
- (419) 787-4874
- Fax
- (419) 436-6625
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Fostoria Community HospitalCertificate of Accreditation, Hospital36D0343977
- Fostoria Community Hospital PocCertificate of Waiver, Hospital36D0941408
- Fostoria Fire DivisionCertificate of Waiver, Ambulance36D2295899
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- Good Shepherd HomeCertificate of Waiver, Skilled nursing or nursing facility36D0343981
- Kroger Pharmacy #016856Certificate of Waiver, Pharmacy36D2094968
- Promedica Physicians Family MedicineCertificate of Waiver, Physician office36D2009582
Related
Questions
What is the CLIA number for Promedica Physicians Genito-Urinary in Fostoria?
36D2059628, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Promedica Physicians Genito-Urinary hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2059628 expire?
The CMS file lists May 27, 2027 as the certificate expiration date; the certificate took effect May 28, 2025.