CLIA lab
CLIA 36D2148088: Bloom of Grace Rehab, LLC
Bloomville, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2148088 belongs to Bloom of Grace Rehab, LLC in Bloomville, OH.
Certificate of Waiver, effective May 3, 2026, expires May 2, 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
- May 3, 2026
- Certificate expiration
- May 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 2018
- Facility type
- Skilled nursing or nursing facility
- 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
- 36D2148088
- Lab name
- Bloom of Grace Rehab, LLC
- Address
- 22 Clinton St, Bloomville, OH 44818
- Phone
- (419) 983-4100
- Fax
- (419) 983-4103
Annual test volume the lab reported
- Waived tests
- 260
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Bloom of Grace Rehab, LLC in Bloomville?
36D2148088, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bloom of Grace Rehab, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2148088 expire?
The CMS file lists May 2, 2028 as the certificate expiration date; the certificate took effect May 3, 2026.