CLIA lab

CLIA 36D2309522: Grand Lake Ob/Gyn

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

CLIA number 36D2309522 belongs to Grand Lake Ob/Gyn in Celina, OH.

Certificate of Waiver, effective August 16, 2026, expires August 15, 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
August 16, 2026
Certificate expiration
August 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 16, 2024
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
36D2309522
Lab name
Grand Lake Ob/Gyn
Address
801 Pro Drive, Suite D3, Celina, OH 45822
Phone
(419) 394-7314
Fax
(419) 394-7313

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.

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Related

Questions

What is the CLIA number for Grand Lake Ob/Gyn in Celina?

36D2309522, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grand Lake Ob/Gyn hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2309522 expire?

The CMS file lists August 15, 2028 as the certificate expiration date; the certificate took effect August 16, 2026.

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