CLIA lab
CLIA 36D2169126: Phoenix Group Home LLC DBA
Lebanon, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2169126 belongs to Phoenix Group Home LLC DBA in Lebanon, OH.
Certificate of Waiver, effective August 1, 2025, expires July 31, 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
- August 1, 2025
- Certificate expiration
- July 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 16, 2019
- Facility type
- Other
- 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
- 36D2169126
- Lab name
- Phoenix Group Home LLC DBA
- Additional name
- Path Behavioral Healthcare
- Address
- 777 Columbus Ave Suite 6, Lebanon, OH 45036
- Phone
- (513) 836-8230
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.
Other labs in Lebanon, OH
- Baymark Health Services of Ohio, IncCertificate of Waiver, Other36D2162184
- Bethesda Arrow SpringsCertificate of Accreditation, Hospital36D0345037
- Bethesda Arrow Springs Laboratory PocCertificate of Waiver, Ancillary test site36D2240754
- Bethesda Care Occupational MedicineCertificate of Waiver, Other36D0968965
- Broadway Family Medicine, IncCertificate for Provider-Performed Microscopy Procedures, Physician office36D0696811
- CL Healthcare, LLCCertificate of Waiver, Skilled nursing or nursing facility36D0908397
- CV Healthcare, LLCCertificate of Waiver, Skilled nursing or nursing facility36D0345049
- Dulan and Moore Dulan FamilyCertificate for Provider-Performed Microscopy Procedures, Physician office36D0975028
- Embassy of Lebanon - Lebanon OhioCertificate of Waiver, Skilled nursing or nursing facility36D2337698
- Greater Cincinnati Behavioral Health ServicesCertificate of Waiver, Comprehensive outpatient rehab facility36D2314444
Related
Questions
What is the CLIA number for Phoenix Group Home LLC DBA in Lebanon?
36D2169126, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Phoenix Group Home LLC DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2169126 expire?
The CMS file lists July 31, 2027 as the certificate expiration date; the certificate took effect August 1, 2025.