CLIA lab
CLIA 36D2141766: Promedica Physicians Genito-Urinary
Defiance, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2141766 belongs to Promedica Physicians Genito-Urinary in Defiance, OH.
Certificate of Waiver, effective December 20, 2025, expires December 19, 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
- December 20, 2025
- Certificate expiration
- December 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 20, 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
- 36D2141766
- Lab name
- Promedica Physicians Genito-Urinary
- Additional name
- Surgeons
- Address
- 1250 Ralston Ave, Suite 203, Defiance, OH 43512
- Phone
- (419) 783-6915
- Fax
- (419) 782-1591
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.
Other labs in Defiance, OH
- Bravia Dermatology Group, LLC - DefianceCertificate of Compliance, Physician office36D2145976
- Defiance Chiropractic CenterCertificate of Waiver, Other practitioner36D2114367
- Defiance College Wellness CenterCertificate of Waiver, School or student health service36D2213384
- Defiance County General Health DistCertificate of Waiver, Community clinic36D0674716
- Defiance Dialysis Center LTD DBACertificate of Waiver, End stage renal disease dialysis facility36D1003984
- Defiance Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility36D0988848
- Defiance Regional Medical CenterCertificate of Accreditation, Hospital36D0331203
- Defiance Regional Medical CenterCertificate for Provider-Performed Microscopy Procedures, Hospital36D0947440
- Defiance VA ClinicCertificate of Accreditation, Community clinic36D2219276
- Delaware Township RescueCertificate of Waiver, Other36D0903920
Related
Questions
What is the CLIA number for Promedica Physicians Genito-Urinary in Defiance?
36D2141766, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Promedica Physicians Genito-Urinary hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2141766 expire?
The CMS file lists December 19, 2027 as the certificate expiration date; the certificate took effect December 20, 2025.