CLIA lab

CLIA 36D2072442: Providence Medical Group Inc

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

CLIA number 36D2072442 belongs to Providence Medical Group Inc in Huber Heights, OH.

Certificate for Provider-Performed Microscopy Procedures, effective January 30, 2026, expires January 29, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate for Provider-Performed Microscopy Procedures
Certificate effective
January 30, 2026
Certificate expiration
January 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 30, 2014
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
36D2072442
Lab name
Providence Medical Group Inc
Additional name
The Heights
Address
8701 Old Troy Pike Ste 10, Huber Heights, OH 45424
Phone
(937) 297-8999
Fax
(937) 297-4852

Annual test volume the lab reported

Waived tests
1,500
Provider-performed microscopy tests
1,500
Total
3,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Huber Heights, OH

Related

Questions

What is the CLIA number for Providence Medical Group Inc in Huber Heights?

36D2072442, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Providence Medical Group Inc hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 36D2072442 expire?

The CMS file lists January 29, 2028 as the certificate expiration date; the certificate took effect January 30, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.