CLIA lab
CLIA 36D2069425: Brookdale Beavercreek
Beavercreek, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2069425 belongs to Brookdale Beavercreek in Beavercreek, OH.
Certificate of Waiver, effective November 25, 2025, expires November 24, 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
- November 25, 2025
- Certificate expiration
- November 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 25, 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
- 36D2069425
- Lab name
- Brookdale Beavercreek
- Address
- 3839 Indian Ripple Blvd, Beavercreek, OH 45440
- Phone
- (937) 431-0455
- Fax
- (937) 431-0435
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Beavercreek Family PhysiciansCertificate for Provider-Performed Microscopy Procedures, Physician office36D0696846
- Beavercreek Health CenterCertificate of Waiver, Ancillary test site36D1099157
- Beavercreek Post AcuteCertificate of Waiver, Skilled nursing or nursing facility36D0685029
- Beavercreek Testing CenterCertificate of Waiver, Ancillary test site36D1065619
Related
Questions
What is the CLIA number for Brookdale Beavercreek in Beavercreek?
36D2069425, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brookdale Beavercreek hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2069425 expire?
The CMS file lists November 24, 2027 as the certificate expiration date; the certificate took effect November 25, 2025.