CLIA lab
CLIA 36D2163056: Mary Rutan Indian Lake Health Center
Russells Point, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2163056 belongs to Mary Rutan Indian Lake Health Center in Russells Point, OH.
Certificate of Waiver, effective March 6, 2025, expires March 5, 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
- March 6, 2025
- Certificate expiration
- March 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 6, 2019
- Facility type
- Hospital
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D2163056
- Lab name
- Mary Rutan Indian Lake Health Center
- Address
- 120 W Main St, Suite 8, Russells Point, OH 43348
- Phone
- (937) 292-5063
- Fax
- (937) 292-5073
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Russells Point, OH
Related
Questions
What is the CLIA number for Mary Rutan Indian Lake Health Center in Russells Point?
36D2163056, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mary Rutan Indian Lake Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2163056 expire?
The CMS file lists March 5, 2027 as the certificate expiration date; the certificate took effect March 6, 2025.