CLIA lab
CLIA 36D2119867: Promedica Physicians Internal Medicine
Elmore, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2119867 belongs to Promedica Physicians Internal Medicine in Elmore, OH.
Certificate of Waiver, effective October 5, 2026, expires October 4, 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
- October 5, 2026
- Certificate expiration
- October 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 5, 2016
- 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
- 36D2119867
- Lab name
- Promedica Physicians Internal Medicine
- Address
- 3105 S State Route 51, Elmore, OH 43416
- Phone
- (418) 862-8040
- Fax
- (419) 862-8044
Annual test volume the lab reported
- Waived tests
- 1,450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Promedica Physicians Internal Medicine in Elmore?
36D2119867, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Promedica Physicians Internal Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2119867 expire?
The CMS file lists October 4, 2028 as the certificate expiration date; the certificate took effect October 5, 2026.