CLIA lab

CLIA 36D2125616: Gypsy Lane Endoscopy Suites, Inc

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

CLIA number 36D2125616 belongs to Gypsy Lane Endoscopy Suites, Inc in Youngstown, OH.

Certificate of Waiver, effective February 10, 2025, expires February 9, 2027.

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
February 10, 2025
Certificate expiration
February 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 10, 2017
Facility type
Ambulatory surgery center
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
6

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

Lab and contact

CLIA number
36D2125616
Lab name
Gypsy Lane Endoscopy Suites, Inc
Address
630 Gypsy Lane, Youngstown, OH 44505
Phone
(330) 399-7215
Fax
(330) 399-2411

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Other labs in Youngstown, OH

Related

Questions

What is the CLIA number for Gypsy Lane Endoscopy Suites, Inc in Youngstown?

36D2125616, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gypsy Lane Endoscopy Suites, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2125616 expire?

The CMS file lists February 9, 2027 as the certificate expiration date; the certificate took effect February 10, 2025.

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