CLIA lab

CLIA 36D2168603: Premise Health of Ohio Medical, PA

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

CLIA number 36D2168603 belongs to Premise Health of Ohio Medical, PA in Bainbridge, OH.

Certificate of Waiver, effective July 3, 2025, expires July 2, 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
July 3, 2025
Certificate expiration
July 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 3, 2019
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
36D2168603
Lab name
Premise Health of Ohio Medical, PA
Address
7454 US Rt 50, Bainbridge, OH 45612
Phone
(740) 735-5211
Fax
(740) 634-3586

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.

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Related

Questions

What is the CLIA number for Premise Health of Ohio Medical, PA in Bainbridge?

36D2168603, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Premise Health of Ohio Medical, PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2168603 expire?

The CMS file lists July 2, 2027 as the certificate expiration date; the certificate took effect July 3, 2025.

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