CLIA lab
CLIA 36D2290200: Avita Health System - South Campus,
Ontario, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2290200 belongs to Avita Health System - South Campus, in Ontario, OH.
Certificate of Waiver, effective September 21, 2025, expires September 20, 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
- September 21, 2025
- Certificate expiration
- September 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 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
- 36D2290200
- Lab name
- Avita Health System - South Campus,
- Additional name
- Suite 205
- Address
- 600 Richland Mall, Suite 205, Ontario, OH 44906
- Phone
- (419) 462-4656
- Fax
- (419) 462-4657
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ontario, OH
- Avita Health ServicesCertificate of Waiver, Physician office36D0344502
- Avita Health ServicesCertificate of Waiver, Physician office36D0699007
- Avita Health ServicesCertificate of Waiver, Physician office36D1011692
- Avita Health SystemCertificate of Waiver, Physician office36D2258950
- Avita Health SystemCertificate of Registration, Hospital36D2328559
- Avita Health System - OntarioCertificate of Waiver, Physician office36D2126704
- Avita Ontario - Suite CCertificate of Waiver, Physician office36D2219926
- Avita Ontario HospitalCertificate of Accreditation, Hospital36D2122822
- Avita Ontario Hospital Point of CareCertificate of Waiver, Hospital36D2123162
- Central Star Home Health Services IncCertificate of Waiver, Home health agency36D0985107
Related
Questions
What is the CLIA number for Avita Health System - South Campus, in Ontario?
36D2290200, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Avita Health System - South Campus, hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2290200 expire?
The CMS file lists September 20, 2027 as the certificate expiration date; the certificate took effect September 21, 2025.