CLIA lab
CLIA 36D2094965: Great Lakes Ambulatory Surgery Center
Mentor, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2094965 belongs to Great Lakes Ambulatory Surgery Center in Mentor, OH.
Certificate of Waiver, effective April 28, 2025, expires April 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
- April 28, 2025
- Certificate expiration
- April 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 28, 2015
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D2094965
- Lab name
- Great Lakes Ambulatory Surgery Center
- Address
- 9002 Mentor Ave Suite B, Mentor, OH 44060
- Phone
- (440) 306-2358
- Fax
- (440) 306-2359
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mentor, OH
- A Heavenly Helper Home CareCertificate of Waiver, Home health agency36D2190370
- Allied Dermatology and Skin Surgery, LLCCertificate of Compliance, Physician office36D2092579
- Apex SkinCertificate of Waiver, Physician office36D2319741
- Atrium Medical Group IncCertificate of Waiver, Physician office36D2256743
- Biolife Plasma Services, LPCertificate of Compliance, Other36D2049287
- Birthright Lake, IncCertificate of Waiver, Other36D0875564
- Brookdale MentorCertificate of Waiver, Assisted living facility36D0963941
- C H Everett ClinicCertificate of Waiver, Federally qualified health center36D2177364
- CDC Homecare - MentorCertificate of Waiver, End stage renal disease dialysis facility36D2093880
- Canterbury House Direct Primary CareCertificate of Waiver, Physician office36D2342836
Related
Questions
What is the CLIA number for Great Lakes Ambulatory Surgery Center in Mentor?
36D2094965, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Great Lakes Ambulatory Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2094965 expire?
The CMS file lists April 27, 2027 as the certificate expiration date; the certificate took effect April 28, 2025.