CLIA lab

CLIA 36D2063389: Campbell Place

Bellefontaine, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 36D2063389 belongs to Campbell Place in Bellefontaine, OH.

Certificate of Waiver, effective March 5, 2026, expires March 4, 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
March 5, 2026
Certificate expiration
March 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 1, 2013
Facility type
Assisted living facility
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
36D2063389
Lab name
Campbell Place
Address
356 Kent Dr, Bellefontaine, OH 43311
Phone
(937) 592-6089
Fax
(937) 592-3555

Annual test volume the lab reported

Waived tests
600

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 Campbell Place in Bellefontaine?

36D2063389, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Campbell Place hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2063389 expire?

The CMS file lists March 4, 2028 as the certificate expiration date; the certificate took effect March 5, 2026.

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