CLIA lab

CLIA 36D2120345: Opg PCP Balgreen

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

CLIA number 36D2120345 belongs to Opg PCP Balgreen in Mansfield, OH.

Certificate of Waiver, effective October 14, 2026, expires October 13, 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 14, 2026
Certificate expiration
October 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 14, 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
36D2120345
Lab name
Opg PCP Balgreen
Address
770 Balgreen Drive, Mansfield, OH 44906
Phone
(419) 756-6366
Fax
(419) 756-5549

Annual test volume the lab reported

Waived tests
5,000

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

Other labs in Mansfield, OH

Related

Questions

What is the CLIA number for Opg PCP Balgreen in Mansfield?

36D2120345, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Opg PCP Balgreen hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2120345 expire?

The CMS file lists October 13, 2028 as the certificate expiration date; the certificate took effect October 14, 2026.

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