CLIA lab
CLIA 36D2199890: Fairlawn Haven Al/West Haven
Archbold, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2199890 belongs to Fairlawn Haven Al/West Haven in Archbold, OH.
Certificate of Waiver, effective November 12, 2024, expires November 11, 2026.
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
- November 12, 2024
- Certificate expiration
- November 11, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 12, 2020
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 36D2199890
- Lab name
- Fairlawn Haven Al/West Haven
- Address
- 500 Haven Dr, Archbold, OH 43502
- Phone
- (567) 444-5080
- Fax
- (567) 444-5118
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Archbold, OH
- Everside Health - Archbold ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office36D2127331
- Four County Joint Vocational School DistrictCertificate of Waiver, School or student health service36D2319360
- PPG Family Medicine ArchboldCertificate for Provider-Performed Microscopy Procedures, Physician office36D2107026
- PPG Specialty Clinic ArchboldCertificate of Waiver, Physician office36D2348268
- Parkview Archbold Medical CenterCertificate of Waiver, Ambulatory surgery center36D0948032
Related
Questions
What is the CLIA number for Fairlawn Haven Al/West Haven in Archbold?
36D2199890, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fairlawn Haven Al/West Haven hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2199890 expire?
The CMS file lists November 11, 2026 as the certificate expiration date; the certificate took effect November 12, 2024.