CLIA lab
CLIA 36D0333633: Country Club Retirement Center III Inc
Ashtabula, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0333633 belongs to Country Club Retirement Center III Inc in Ashtabula, OH.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 15, 1992
- Facility type
- Skilled nursing or nursing facility
- 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
- 36D0333633
- Lab name
- Country Club Retirement Center III Inc
- Address
- 925 East 26th Street, Ashtabula, OH 44004
- Phone
- (440) 992-0022
- Fax
- (440) 992-7423
Annual test volume the lab reported
- Waived tests
- 5,796
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Country Club Ret Center I I ICMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Country Club Retirement Center III Inc in Ashtabula?
36D0333633, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Country Club Retirement Center III Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0333633 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.