CLIA lab
CLIA 36D2140049: Grand Lake Eyecare, LLC
Fort Recovery, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2140049 belongs to Grand Lake Eyecare, LLC in Fort Recovery, OH.
Certificate of Waiver, effective November 14, 2025, expires November 13, 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
- November 14, 2025
- Certificate expiration
- November 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 2017
- 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
- 36D2140049
- Lab name
- Grand Lake Eyecare, LLC
- Address
- 130 N Wayne St, Fort Recovery, OH 45846
- Phone
- (419) 375-5656
Annual test volume the lab reported
- Waived tests
- 500
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 Grand Lake Eyecare, LLC in Fort Recovery?
36D2140049, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Lake Eyecare, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2140049 expire?
The CMS file lists November 13, 2027 as the certificate expiration date; the certificate took effect November 14, 2025.