Others titles
- Medicare CLIA Data
- Clinical Laboratory Payments
Keywords
- CLIA Services
- POS Data
- Provider of Services
- Healthcare Facilities
- CLIA Laboratory
- CLIA Providers
- Clinical Laboratory Improvement Amendments
- Provider of Services Current Files
- Hospital Provider Data
- Medicare Approved Providers
Provider of Services-CLIA
The dataset contains the data on characteristics of hospitals and other types of healthcare facilities, including the name and address of the facility and the type of Medicare services the facility provides, among other information. The dataset includes provider number, name, and address and characterizes the participating institutional providers.
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Description
The Place of Service (POS) file consists of two data files, one for Clinical Laboratory Improvement Amendments (CLIA) labs and one for 18 other provider types. The POS Extract is created from the QIES (Quality Improvement Evaluation System) database. These data include provider number, name, and address and characterize the participating institutional providers. The data are collected through the Centers for Medicare & Medicaid Services (CMS) Regional Offices.
The data are collected through the Centers for Medicare & Medicaid Services (CMS) Regional Offices. The file contains an individual record for each Medicare-approved provider and is updated quarterly. The data is an invaluable resource to a variety of stakeholders, including researchers and application developers.
About this Dataset
Data Info
Date Created | 2018-07-16 |
---|---|
Last Modified | 2022-07-12 |
Version | 2022-07-12 |
Update Frequency |
Quarterly |
Temporal Coverage |
1970-2022 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare and Medicaid Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | CLIA Services, POS Data, Provider of Services, Healthcare Facilities, CLIA Laboratory, CLIA Providers, Clinical Laboratory Improvement Amendments, Provider of Services Current Files, Hospital Provider Data, Medicare Approved Providers |
Other Titles | Medicare CLIA Data, Clinical Laboratory Payments |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Change_of_Ownership | Number of times this provider has undergone a change of ownership. | integer | level : Ratio |
Change_of_Ownership_Date | Effective date of the most recent change of ownership for this provider. | date | - |
City | City in which the provider is physically located. | string | - |
Is_Acceptable_POC | Indicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies. | boolean | - |
Is_Compliance_Status | Compliance status of a provider at the time of certification survey. | boolean | - |
SSA_Acount_Code | Social Security Administration geographic code indicating the county where the provider is located. | string | - |
Cross_Reference_Provider_Number | Cross reference provider number | string | - |
Certification_Date | Equal to the exit date of the initial visit of the Health survey for certifications completed after July 28, 2012. | date | - |
Is_Eligible_To_Participate | Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs. | boolean | - |
Facility_Name | Name of the provider certified to participate in the Medicare and/or Medicaid programs. | string | - |
Intermediary_or_Carrier_Code | Number assigned to the Medicare Administrative Contractor, intermediary or carrier servicing this provider. | string | - |
Original_Participation_Date | Date a provider is first approved to provide Medicare and/or Medicaid services. | date | - |
Prior_Change_of_Owner_Date | Effective date of the previous change of ownership for this provider. | date | - |
Prior_Intermediary_or_Carrier_Code | Number assigned to the previous Medicare Administrative Contractor, intermediary or carrier servicing this provider. | string | - |
Provider_Number | Six or ten position identification number that is assigned to a certified provider. This is the CMS Certification Number. | string | - |
Region_Code | Indicates the CMS Regional Office responsible for the certification of the provider. | string | - |
Is_Skeleton_Record_Indicator | Indicates if the record is a skeleton record. Only a limited set of data is available for this provider; no survey data exists. Only provider categories 01,17,19,21 and 22 can have skeleton providers. | boolean | - |
State_Abbreviation | Two-character state abbreviation. | string | - |
SSA_State_Code | Social Security Administration geographic code indicating the state where the provider is located. | string | - |
State_Region_Code | Identifies the region within a state where the provider is located. | string | - |
Street_Address | Street address where the provider is located. | string | - |
Phone_Number | Telephone number of the provider. | string | - |
Program_Termination | Indicates the current termination status for the provider. (01 = VOLUNTARY-MERGER, CLOSURE, 02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT, 03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION, 04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL, 05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ, 06=INVOLUNTARY-FAILURE TO MEET AGREEMENT, 07=OTHER-PROVIDER STATUS CHANGE, 08=NONPAYMENT OF FEES - CLIA Only, 09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only, | string | - |
Termination_or_Expiration_Date | Date the provider was terminated. For CLIA providers, date the laboratory's certificate was terminated or the expiration date of the current CLIA certificate. | date | - |
Type_of_Action | Identifies the reason for the certification. Type of action from the official survey record, CMS 1539 form. | string | - |
Ownership_Type | Indicates the ownership type of the provider. (01=RELIGIOUS AFFILIATION, 02=PRIVATE, 03=OTHER, 04=PROPRIETARY, 05=GOVERNMENT - CITY, 06=GOVERNMENT - COUNTY, 07=GOVERNMENT - STATE08=GOVERNMENT - FEDERAL, 09=GOVERNMENT - OTHER, 10=UNKNOWN) | string | - |
ZIP_Code | Five-digit ZIP code for a provider's physical address. | integer | level : Nominal |
FIPS_State_Code | FIPS State Code | string | - |
FIPS_County_Code | Total amount that Medicare paid after deductible and coinsurance amount has been deducted for all the provider's line-item drug services, as defined from the Medicare Part B Drug ASP File. | string | - |
CBSA_Urban_Rural_Indicator | CBSA (Core Based Statistical Area) indicates whether the county is defined as Urban or Rural. | string | - |
CBSA_Code | CBSA (Core Based Statistical Area) geographic entities defined by the U.S. Office of Management and Budget (OMB) on June 6, 2003 for use by Federal statistical agencies in collecting, tabulating, and publishing Federal statistics. | integer | level : Nominal |
Additional_Street_Address | Second line of a laboratory's street address. | string | - |
Affiliated_Provider_Number_1 | Affiliated provider number 1 | string | - |
Affiliated_Provider_Number_2 | Affiliated provider number 2 | string | - |
Affiliated_Provider_Number_3 | Affiliated provider number 3 | string | - |
Affiliated_Provider_Number_4 | Affiliated provider number 4 | string | - |
Affiliated_Provider_Number_5 | Affiliated provider number 5 | string | - |
Affiliated_Provider_Number_6 | Affiliated provider number 6 | string | - |
Affiliated_Provider_Number_7 | Affiliated provider number 7 | string | - |
Affiliated_Provider_Number_8 | Affiliated provider number 8 | string | - |
Is_Accredited_AALA | Indicates if the Laboratory reported that it is accredited by the American Association for Laboratory Accreditation. | boolean | - |
Accredited_AALA_Date | Date the American Association for Laboratory Accreditation confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees. | date | - |
Is_Confirmed_Accredited_AALA | Indicates if the Laboratory is confirmed as accredited by the American Association for Laboratory Accreditation. | boolean | - |
Is_Accredited_AABB | Indicates if the Laboratory reported that it is accredited by the American Association of Blood Banks. | boolean | - |
Accredited_AABB_Date | Date the American Association of Blood Banks confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees. | date | - |
Is_Confirmed_Accredited_AABB | Indicates if the Laboratory is confirmed as accredited by the American Association of Blood Banks. | boolean | - |
Is_Accredited_AOA | Indicates if the Laboratory reported that it is accredited by the American Osteopathic Association. | boolean | - |
Accredited_AOA_Date | Date the American Osteopathic Association confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees. | date | - |
Is_Confirmed_Accredited_AOA | Indicates if the Laboratory is confirmed as accredited by the American Osteopathic Association. | boolean | - |
Is_Accredited_ASHI | Indicates if the Laboratory reported that it is accredited by the American Society for Histocompatibility and Immunogenetics. | boolean | - |
Accredited_ASHI_Date | Date the American Society for Histocompatibility and Immunogenetics confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees. | date | - |
Is_Confirmed_Accredited_ASHI | Indicates if the Laboratory is confirmed as accredited by the American Society for Histocompatibility and Immunogenetics. | boolean | - |
Is_Accredited_CAP | Indicates if the Laboratory reported that it is accredited by the College of American Pathologists. | boolean | - |
Accredited_CAP_Date | Date the College of American Pathologists confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees. | date | - |
Is_Confirmed_Accredited_CAP | Indicates if the Laboratory is confirmed as accredited by the College of American Pathologists. | boolean | - |
Is_Accredited_COLA | Indicates if the Laboratory reported that it is accredited by the Commission on Office Laboratory Accreditation. | boolean | - |
Accredited_COLA_Date | Date the Commission on Office Laboratory Accreditation confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees. | date | - |
Is_Confirmed_Accredited_COLA | Indicates if the Laboratory is confirmed as accredited by the Commission on Office Laboratory Accreditation. | boolean | - |
Is_Accredited_JCAHO | Indicates if the Laboratory reported that it is accredited by the Joint Commission. | boolean | - |
Accredited_JCAHO_Date | Date the Joint Commission confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees. | date | - |
Is_Confirmed_Accredited_JCAHO | Indicates if the Laboratory is confirmed as accredited by the Joint Commission on Accreditation of Healthcare Organizations JCAHO. | boolean | - |
Application_Received_Date | Date the CMS-116 application was entered in the online system and a CLIA number was issued. | date | - |
Application_Type | Type of CLIA certificate applied for by a laboratory. (1=COMPLIANCE, 2=WAIVER, 3=ACCREDITATION, 4=Provider Performed Microscopy) | string | - |
Category_Specific_Facility_Type_Code | Indicates the category-specific facility type code, for certain provider categories only. (01=Ambulance, 02=Ambulatory Surgery Center, 03=Ancillary Test Site, 04=Assisted Living Facility, 05=Blood Banks, 06=Community Clinic, 07=Comprehensive Outpatient Rehab, 08=End Stage Renal Disease Dialysis, 09=Federally Qualified Health Center, 10=Health Fair, | string | - |
CLIA_Certificate_Effective_Date | Start date of the certificate. | date | - |
CLIA_Certificate_Mailed_Date | Date the certificate was generated for mailing. | date | - |
CLIA_Certificate_Type_Code | Type of certificate issued to the laboratory, based on the application type code. (1=COMP, 2=WAIVER, 3=ACCRED, 4=Provider Performed Microscopy, 9=REG) | string | - |
Current_CLIA_Lab_Classification_Code | Current Laboratory Classification code and description (00=CLIA LABORATORY, 05=CLIA EXEMPT LABORATORY, 10=CLIA VA LABORATORY) | string | - |
CLIA_Medicare_Number | Contains medicare numbers from prior to CLIA88. Optional field. | string | - |
CLIA_Termination_Code | Identifies a laboratory's active or terminated status. If terminated, identifies the reason. (00=ACTIVE PROVIDER, 01=VOLUNTARY-MERGER, CLOSURE, 02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT, 03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION, 04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL, 05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ, 06=INVOLUNTARY-FAILURE TO MEET AGREEMENT, 07=OTHER-PROVIDER STATUS CHANGE, 08=NONPAYMENT OF FEES, | string | - |
Accreditation_Schedule_Code | Indicates the Laboratory accreditation schedule code calculated by the CLIA system, based on the information in the most recent CMS-116 application form. Applies only to Laboratory with a certificate of accreditation. (A=SPEC COUNT < 4 (2,001 TO 10,000 TOT. VOL.), B=SPEC COUNT > 3 (2,001 T0 10,000 TOT. VOL.), C=SPEC COUNT < 4 (10,001 TO 25,000 TOT. VOL.), | string | - |
Sum_for_All_Specialties | Sum for all specialties as reported on the most recent CMS-116 application form. Applies only to Laboratory with a certificate of accreditation. | integer | level : Ratio |
Annual_Test_Volume | Annual test volume count | integer | level : Ratio |
Director_Affiliated_Lab_Count | Number of laboratories with which the Laboratory director is affiliated. | integer | level : Ratio |
Fax_Number | 10-digit fax phone number of the primary contact or the operator of the provider. | integer | level : Nominal |
Fiscal_Year_End_Date | End date, consisting of the month and day, of the provider's fiscal year. | string | - |
Is_Multiple_Site_Certificate_Indicator | Indicates if a Laboratory has applied for a single site CLIA certificate to cover multiple testing locations. | boolean | - |
Is_Hospital_Campus_Indicator | Indicates if the single site CLIA certificate is for a hospital with several Laboratory on a single hospital campus and under common direction. | boolean | - |
Is_Non_Profit_Multiple_Site_Exception | Indicates if the single site CLIA certificate is for multiple sites with non-profit, federal, state or local government status and engaged in limited public health testing. | boolean | - |
Is_Temporary_Testing_Site | Indicates if the single site CLIA certificate is for a Laboratory with multiple temporary testing sites. | boolean | - |
Multiple_Site_Lab_Count | Total number of Laboratory sites for which a lab has applied for a single certificate for multiple sites. | integer | level : Ratio |
PPM_Test_Volume_Count | Estimated total annual Provider Performed Microscopy tests performed by the Laboratory. | integer | level : Ratio |
Provider_Name_2nd_Line | Second line of a laboratory name. | string | - |
Is_Shared_Lab_Indicator | Applies to physician office Laboratory when two or more physicians collectively pool resources to fund a Laboratory operation. | boolean | - |
Shared_Lab_Xref_Number | Shared Laboratory xref number | string | - |
Survey_Compliance_Certificate_Schedule_Code | Certificate Compliance schedule code based on the information gathered at survey. | string | - |
Test_Volume_Count | Sum of tests performed annually in a laboratory, as verified at the time of the state survey. | string | - |
Waived_Test_Volume_Count | Estimated total annual waived tests performed by the lab. | integer | level : Ratio |
Data Preview
Change of Ownership | Change of Ownership Date | City | Is Acceptable POC | Is Compliance Status | SSA Acount Code | Cross Reference Provider Number | Certification Date | Is Eligible To Participate | Facility Name | Intermediary or Carrier Code | Original Participation Date | Prior Change of Owner Date | Prior Intermediary or Carrier Code | Provider Number | Region Code | Is Skeleton Record Indicator | State Abbreviation | SSA State Code | State Region Code | Street Address | Phone Number | Program Termination | Termination or Expiration Date | Type of Action | Ownership Type | ZIP Code | FIPS State Code | FIPS County Code | CBSA Urban Rural Indicator | CBSA Code | Additional Street Address | Affiliated Provider Number 1 | Affiliated Provider Number 2 | Affiliated Provider Number 3 | Affiliated Provider Number 4 | Affiliated Provider Number 5 | Affiliated Provider Number 6 | Affiliated Provider Number 7 | Affiliated Provider Number 8 | Is Accredited AALA | Accredited AALA Date | Is Confirmed Accredited AALA | Is Accredited AABB | Accredited AABB Date | Is Confirmed Accredited AABB | Is Accredited AOA | Accredited AOA Date | Is Confirmed Accredited AOA | Is Accredited ASHI | Accredited ASHI Date | Is Confirmed Accredited ASHI | Is Accredited CAP | Accredited CAP Date | Is Confirmed Accredited CAP | Is Accredited COLA | Accredited COLA Date | Is Confirmed Accredited COLA | Is Accredited JCAHO | Accredited JCAHO Date | Is Confirmed Accredited JCAHO | Application Received Date | Application Type | Category Specific Facility Type Code | CLIA Certificate Effective Date | CLIA Certificate Mailed Date | CLIA Certificate Type Code | Current CLIA Lab Classification Code | CLIA Medicare Number | CLIA Termination Code | Accreditation Schedule Code | Sum for All Specialties | Annual Test Volume | Director Affiliated Lab Count | Fax Number | Fiscal Year End Date | Is Multiple Site Certificate Indicator | Is Hospital Campus Indicator | Is Non Profit Multiple Site Exception | Is Temporary Testing Site | Multiple Site Lab Count | PPM Test Volume Count | Provider Name 2nd Line | Is Shared Lab Indicator | Shared Lab Xref Number | Survey Compliance Certificate Schedule Code | Test Volume Count | Waived Test Volume Count |
MASSILLON | False | 770 | 2018-02-27 | False | AMG - FAMILY MEDICINE OF MASSILLON | 2018-02-27 | 36D2144978 | 5 | True | OH | 36 | 1 | 2606 WALES AVE NW | 3308344725 | 8.0 | 2022-02-26 | 4 | 44646 | 39 | 151 | U | 15940 | SUITE 200 | 01D0305030 | 01D0641531 | 01D0663476 | 01D0671555 | 01D0686149 | 01D1091448 | False | False | False | False | False | False | True | 2000-09-19 | False | 2018-02-27 | 2 | 21 | 2020-02-27 | 2020-01-28 | 2 | 0 | 1793 | 8 | J | 3308344726 | False | False | False | False | False | 500 | ||||||||||||||||||||||||||||||||
PARMA | False | True | 170 | 2018-02-27 | False | ROCKSIDE MEDICAL ASSOCIATES | 2018-02-27 | 36D2145008 | 5 | True | OH | 36 | 1 | 1440 ROCKSIDE RD SUITE 202 | 2167498256 | 2024-02-26 | 1.0 | 4 | 44134 | 39 | 35 | U | 17460 | 01D0302578 | 01D0301737 | False | False | False | False | False | False | False | 2018-02-27 | 2 | 21 | 2022-02-27 | 2022-02-01 | 2 | 0 | 10143 | 0 | 2167498209 | False | False | False | False | ROSE HILL MEDICAL CLINIC | False | 1200 | ||||||||||||||||||||||||||||||||||||||
WILMINGTON | False | 130 | 01D0300143 | 2018-02-28 | False | GREATER TOMORROW WELLNESS | 2018-02-28 | 36D2145091 | 5 | True | OH | 36 | 1 | 1907 W LOCUST ST | 9375566083 | 2024-02-28 | 4 | 45177 | 39 | 27 | R | 99936 | False | False | False | False | False | False | False | 2018-02-28 | 2 | 29 | 2022-02-28 | 2022-02-01 | 2 | 0 | 419704 | 0 | 9373831380 | False | False | False | False | False | 100 | ||||||||||||||||||||||||||||||||||||||||||
COLUMBUS | False | False | 250 | 2018-02-28 | False | ALL SEASONS MEDICAL CLINIC, INC | 2018-02-28 | 36D2145093 | 5 | True | OH | 36 | 1 | 50 OLD VILLAGE RD | 6148789444 | 1.0 | 2018-10-01 | 2.0 | 4 | 43228 | 39 | 49 | U | 18140 | ATTN WENDY JENKINS | 01D0300758 | 01D0301578 | False | False | False | False | False | False | True | 2013-01-31 | False | 2018-02-28 | 2 | 21 | 2018-02-28 | 2018-03-20 | 2 | 0 | 101257 | 1 | H | 6148780082 | 1901-09-21 | False | False | False | False | DBA NMC HEALTH FAMILY MEDICINE-VALLEY CENTER | False | 100 | ||||||||||||||||||||||||||||||||
LIMA | False | True | 10 | 2018-03-01 | False | LIMA MEMORIAL DERMATOLOGY | 2018-03-01 | 36D2145119 | 5 | True | OH | 36 | 1 | 1005 BELLEFONTAINE AVE, SUITE 350 | 4199988297 | 1.0 | 2019-12-04 | 1.0 | 2 | 45804 | 39 | 3 | U | 30620 | 01D0707898 | 01D0897027 | 01D0898010 | 01D1070851 | False | False | False | False | False | False | True | 1995-01-03 | False | 2018-03-01 | 4 | 21 | 2018-03-01 | 2018-03-27 | 4 | 0 | 0101H | 1 | H | 4192268309 | 1901-09-21 | False | False | False | False | 200.0 | False | 100 | |||||||||||||||||||||||||||||||
CANTON | False | True | 770 | 2018-03-02 | False | LANDING OF CANTON, THE | 2018-03-02 | 36D2145163 | 5 | True | OH | 36 | 1 | 4550 HILLS AND DALES RD NW | 3304775727 | 2024-03-01 | 2.0 | 6 | 44708 | 39 | 151 | U | 15940 | 17D2004290 | 01D0995187 | 01D1026037 | False | False | False | False | True | 1995-02-09 | False | False | True | 2021-08-23 | False | 2018-03-02 | 2 | 4 | 2022-03-02 | 2022-02-08 | 2 | 0 | ST305190 | 0 | F | 3304775327 | False | False | False | False | False | 7300 | |||||||||||||||||||||||||||||||||
CINCINNATI | False | 310 | 2018-03-02 | False | ATRIUM SHARONVILLE LLC DBA | 2018-03-02 | 36D2145173 | 5 | True | OH | 36 | 1 | 1400 MALLARD COVE DRIVE | 2317996882 | 2024-03-01 | 4 | 45246 | 39 | 61 | U | 17140 | 01D0665888 | 01D2042730 | False | False | False | False | True | 1995-03-15 | False | False | False | 2018-03-02 | 2 | 27 | 2022-03-02 | 2022-02-08 | 2 | 0 | WH410578 | 0 | C | 2317990250 | False | False | False | False | MALLARD COVE TRANSITIONAL CARE | False | 100 | |||||||||||||||||||||||||||||||||||||
CANTON | False | True | 770 | 2018-03-02 | False | AKRON CHILDREN'S HOSPITAL MATERNAL | 2018-03-02 | 36D2145177 | 5 | True | OH | 36 | 1 | 2600 W TUSCARAWAS STREET | 3305438572 | 1.0 | 2022-03-01 | 2.0 | 2 | 44708 | 39 | 151 | U | 15940 | SUITE 300 | False | False | False | False | False | False | False | 2018-03-02 | 4 | 3 | 2020-03-02 | 2020-02-04 | 4 | 0 | 17830WE | 1 | 3305433226 | False | False | False | False | 500.0 | FETAL MEDICINE AT AULTMAN | False | 800 | |||||||||||||||||||||||||||||||||||||
EAST LIVERPOOL | False | True | 140 | 2018-03-05 | False | ON DEMAND OPIATE RECOVERY | 2018-03-05 | 36D2145250 | 5 | True | OH | 36 | 1 | 15898 SAINT CLAIR AVE | 3302703660 | 1.0 | 2019-07-01 | 2.0 | 4 | 43920 | 39 | 29 | R | 99936 | 36D2117399 | 36D2140820 | False | False | False | False | False | False | False | 2018-03-05 | 2 | 29 | 2018-03-05 | 2018-03-27 | 2 | 0 | 83192 | 1 | 2.0 | 3302702690 | 1901-09-21 | False | False | False | False | False | 3500 | ||||||||||||||||||||||||||||||||||||
WOOSTER | False | True | 860 | 01D0953153 | 2018-03-05 | False | AVENUE AT WOOSTER | 2018-03-05 | 36D2145252 | 5 | True | OH | 36 | 1 | 1700 E SMITHVILLE WESTERN RD | 3306011001 | 2024-03-04 | 1.0 | 4 | 44691 | 39 | 169 | R | 99936 | 37D0470256 | 01D0301459 | 01D0641495 | False | False | False | False | False | False | False | 2018-03-05 | 2 | 27 | 2022-03-05 | 2022-02-08 | 2 | 0 | 0 | 3303450001 | 1902-07-18 | False | False | False | False | False | 1000 |