CLIA lab

CLIA 36D2284009: Champion Estates Assisted Living

Warren, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 36D2284009 belongs to Champion Estates Assisted Living in Warren, OH.

Certificate of Waiver, effective June 15, 2025, expires June 14, 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
June 15, 2025
Certificate expiration
June 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 15, 2023
Facility type
Assisted living facility
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
36D2284009
Lab name
Champion Estates Assisted Living
Address
1 Windsor Place, Warren, OH 44483
Phone
(330) 841-1555
Fax
(330) 841-2244

Annual test volume the lab reported

Waived tests
2,000

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 Champion Estates Assisted Living in Warren?

36D2284009, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Champion Estates Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2284009 expire?

The CMS file lists June 14, 2027 as the certificate expiration date; the certificate took effect June 15, 2025.

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