CLIA lab
CLIA 36D2254561: Ohioderm Holdings, Inc
Bellefontaine, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2254561 belongs to Ohioderm Holdings, Inc in Bellefontaine, OH.
Certificate of Waiver, effective October 17, 2026, expires October 16, 2028.
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
- October 17, 2026
- Certificate expiration
- October 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 2022
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D2254561
- Lab name
- Ohioderm Holdings, Inc
- Address
- 2200 Timber Trail, Bellefontaine, OH 43311
- Phone
- (937) 595-0100
- Fax
- (937) 518-7770
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Bellefontaine, OH
- Belle Springs Care CenterCertificate of Waiver, Skilled nursing or nursing facility36D0726542
- Bellefontaine Fire DepartmentCertificate of Waiver, Ambulance36D1010510
- Calvary Christian SchoolCertificate of Waiver, School or student health service36D2321808
- Campbell PlaceCertificate of Waiver, Assisted living facility36D2063389
- Community Health & WellnessCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center36D2147414
- Costin Family Practice IncCertificate of Waiver, Physician office36D0717102
- Family Urgent CareCertificate of Waiver, Other36D2131881
- Hickory Medical Direct Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office36D2105608
- High Point Home Health LTDCertificate of Waiver, Home health agency36D0999657
- Highpoint Mental Health LLCCertificate of Waiver, Other practitioner36D2319871
Related
Questions
What is the CLIA number for Ohioderm Holdings, Inc in Bellefontaine?
36D2254561, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ohioderm Holdings, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2254561 expire?
The CMS file lists October 16, 2028 as the certificate expiration date; the certificate took effect October 17, 2026.