CLIA lab
CLIA 36D2293780: Grand Lake Urology
St Marys, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2293780 belongs to Grand Lake Urology in St Marys, OH.
Certificate of Waiver, effective November 15, 2025, expires November 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
- November 15, 2025
- Certificate expiration
- November 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 15, 2023
- Facility type
- Physician office
- 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
- 36D2293780
- Lab name
- Grand Lake Urology
- Address
- 1140 S Knoxville Ave Suite C2, St Marys, OH 45885
- Phone
- (419) 394-0326
- Fax
- (419) 464-7083
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in St Marys, OH
- Angela Rogers Family Practice LLCCertificate of Waiver, Other practitioner36D2299730
- Grand Lake Operations DBACertificate of Waiver, Skilled nursing or nursing facility36D0705224
- Grand Lake Primary Care ST MarysCertificate of Waiver, Physician office36D0960800
- Grand Lakes Neurological CenterCertificate of Waiver, Physician office36D2079161
- Green Palms Health and Rehab of ST Marys, LLCCertificate of Waiver, Skilled nursing or nursing facility36D0656530
- Joint TWP Dist Mem Hosp/New Vision MedCertificate of Accreditation, Hospital36D0351859
- Jtdmh TransportCertificate of Waiver, Ambulance36D1012691
- Kroger Pharmacy #910Certificate of Waiver, Other36D2040892
- Otterbein ST MarysCertificate of Waiver, Skilled nursing or nursing facility36D0718118
Related
Questions
What is the CLIA number for Grand Lake Urology in St Marys?
36D2293780, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Lake Urology hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2293780 expire?
The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.