CLIA lab
CLIA 36D2110541: Avita Health Services
Mansfield, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2110541 belongs to Avita Health Services in Mansfield, OH.
Certificate of Waiver, effective March 16, 2026, expires March 15, 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 16, 2026
- Certificate expiration
- March 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 16, 2016
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 36D2110541
- Lab name
- Avita Health Services
- Address
- 715 Richland Mall, Suite G, Attn Karen Stephens, Mansfield, OH 44906
- Phone
- (567) 307-7835
- Fax
- (567) 307-7836
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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- Avita Workwell OntarioCertificate of Waiver, Physician office36D2179284
- Biomat Holdings, LLC DBACertificate of Accreditation, Other36D2254993
- Bma MansfieldCertificate of Waiver, End stage renal disease dialysis facility36D0344559
- Brightview, LLC - Mansfield, Ohio OfficeCertificate of Waiver, Physician office36D2205806
- Cambridge Home Health Care, Inc DBACertificate of Waiver, Home health agency36D1065624
- Center for Individual and FamilyCertificate of Waiver, Community clinic36D2077187
- Cleveland Clinic Mansfield Cancer CenterCertificate of Accreditation, Other36D0344631
Related
Questions
What is the CLIA number for Avita Health Services in Mansfield?
36D2110541, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Avita Health Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2110541 expire?
The CMS file lists March 15, 2028 as the certificate expiration date; the certificate took effect March 16, 2026.