CLIA lab
CLIA 36D2201070: Carpenter Dental Group
Mount Vernon, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2201070 belongs to Carpenter Dental Group in Mount Vernon, OH.
Certificate of Waiver, effective November 18, 2024, expires November 17, 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 18, 2024
- Certificate expiration
- November 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 2020
- Facility type
- Other practitioner
- 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
- 36D2201070
- Lab name
- Carpenter Dental Group
- Address
- 1684 Venture Drive, Suite C, Mount Vernon, OH 43050
- Phone
- (740) 397-4097
- Fax
- (740) 397-4097
Annual test volume the lab reported
- Waived tests
- 300
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 Carpenter Dental Group in Mount Vernon?
36D2201070, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Carpenter Dental Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2201070 expire?
The CMS file lists November 17, 2026 as the certificate expiration date; the certificate took effect November 18, 2024.