CLIA lab
CLIA 36D2121713: Maumee Valley Internist Inc
Bowling Green, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2121713 belongs to Maumee Valley Internist Inc in Bowling Green, OH.
Certificate of Waiver, effective November 14, 2024, expires November 13, 2026.
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
- November 14, 2024
- Certificate expiration
- November 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 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
- 36D2121713
- Lab name
- Maumee Valley Internist Inc
- Address
- 960 W Wooster Street, Ste 205, Bowling Green, OH 43402
- Phone
- (419) 352-2105
- Fax
- (419) 352-2105
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- BPC Plasma, Inc - Bowling GreenCertificate of Accreditation, Other36D2151085
- Bowling Green Family Care CenterCertificate for Provider-Performed Microscopy Procedures, Physician office36D0959972
- Bowling Green Family PhysiciansCertificate for Provider-Performed Microscopy Procedures, Physician office36D1039352
- Bowling Green Fire DivisionCertificate of Waiver, Ambulance36D2161720
- Bowling Green ManorCertificate of Waiver, Skilled nursing or nursing facility36D0670088
- Bowling Green Pregnancy CenterCertificate of Waiver, Other36D0330890
- Brookdale Bowling GreenCertificate of Waiver, Assisted living facility36D0971443
- Dca of Toledo, LLC DBACertificate of Waiver, End stage renal disease dialysis facility36D0980771
- Dillon DermatologyCertificate of Compliance, Physician office36D1036910
Related
Questions
What is the CLIA number for Maumee Valley Internist Inc in Bowling Green?
36D2121713, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maumee Valley Internist Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2121713 expire?
The CMS file lists November 13, 2026 as the certificate expiration date; the certificate took effect November 14, 2024.