CLIA lab

CLIA 36D0327653: Licking Memorial Gynecology

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

CLIA number 36D0327653 belongs to Licking Memorial Gynecology in Newark, OH.

Certificate of Waiver, effective March 2, 2026, expires March 1, 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
March 2, 2026
Certificate expiration
March 1, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 24, 1993
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
36D0327653
Lab name
Licking Memorial Gynecology
Address
1717 West Main St Ste 202, Newark, OH 43055
Phone
(220) 564-7970
Fax
(220) 564-7971

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Licking Memorial Gynecology in Newark?

36D0327653, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Licking Memorial Gynecology hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D0327653 expire?

The CMS file lists March 1, 2028 as the certificate expiration date; the certificate took effect March 2, 2026.

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