CLIA lab

CLIA 36D2287754: Aultman Medical Group Family

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

CLIA number 36D2287754 belongs to Aultman Medical Group Family in Louisville, OH.

Certificate of Waiver, effective August 17, 2025, expires August 16, 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
August 17, 2025
Certificate expiration
August 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 17, 2023
Facility type
Physician office
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
36D2287754
Lab name
Aultman Medical Group Family
Additional name
Medicine of Louisville
Address
1909 Williamsburg Way, Louisville, OH 44641
Phone
(330) 871-8041
Fax
(330) 871-8023

Annual test volume the lab reported

Waived tests
1,000

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 Aultman Medical Group Family in Louisville?

36D2287754, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Aultman Medical Group Family hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2287754 expire?

The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.

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