CLIA lab

CLIA 36D2337625: Epicene Psychological LLC

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

CLIA number 36D2337625 belongs to Epicene Psychological LLC in Mantua, OH.

Certificate of Waiver, effective January 27, 2026, expires January 26, 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
January 27, 2026
Certificate expiration
January 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 27, 2026
Facility type
Mobile lab
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
36D2337625
Lab name
Epicene Psychological LLC
Address
12765 Vincent Drive, Mantua, OH 44255
Phone
(216) 644-6334

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 Epicene Psychological LLC in Mantua?

36D2337625, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Epicene Psychological LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2337625 expire?

The CMS file lists January 26, 2028 as the certificate expiration date; the certificate took effect January 27, 2026.

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