CLIA lab
CLIA 36D2205009: Bolivar Group Home
Bolivar, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2205009 belongs to Bolivar Group Home in Bolivar, OH.
Certificate of Waiver, effective December 11, 2024, expires December 10, 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
- December 11, 2024
- Certificate expiration
- December 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 2020
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Other
- 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
- 36D2205009
- Lab name
- Bolivar Group Home
- Address
- 10071 State Route 212 NE, Bolivar, OH 44612
- Phone
- (330) 364-5415
- Fax
- (330) 364-4359
Annual test volume the lab reported
- Waived tests
- 40
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 Bolivar Group Home in Bolivar?
36D2205009, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bolivar Group Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2205009 expire?
The CMS file lists December 10, 2026 as the certificate expiration date; the certificate took effect December 11, 2024.