CLIA lab

CLIA 36D2111209: ST Mina Interventional Pain Center

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

CLIA number 36D2111209 belongs to ST Mina Interventional Pain Center in Warren, OH.

Certificate of Waiver, effective April 1, 2026, expires March 31, 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
April 1, 2026
Certificate expiration
March 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 1, 2016
Facility type
Ambulatory surgery center
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
36D2111209
Lab name
ST Mina Interventional Pain Center
Address
1621 East Market Street, Suite B, Warren, OH 44483
Phone
(330) 367-5188
Fax
(330) 392-0088

Annual test volume the lab reported

Waived tests
1

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

Affiliated CLIA numbers

Other labs in Warren, OH

Related

Questions

What is the CLIA number for ST Mina Interventional Pain Center in Warren?

36D2111209, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Mina Interventional Pain Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2111209 expire?

The CMS file lists March 31, 2028 as the certificate expiration date; the certificate took effect April 1, 2026.

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