CLIA lab
CLIA 36D0656473: Edgewood Manor II of Lucasville
Lucasville, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0656473 belongs to Edgewood Manor II of Lucasville in Lucasville, 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
- February 4, 1993
- 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
- 36D0656473
- Lab name
- Edgewood Manor II of Lucasville
- Address
- 10098A Big Bear Creek Road, Lucasville, OH 45648
- Phone
- (740) 259-5536
- Fax
- (740) 259-0631
Annual test volume the lab reported
- Waived tests
- 15,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lucasville, OH
- Edgewood Manor I of LucasvilleCertificate of Waiver, Skilled nursing or nursing facility36D0656474
- Monarch House, theCertificate of Waiver, Physician office36D2180505
- Odyssey Healthcare Operating A, LPCertificate of Waiver, Hospice36D0908422
- Scioto TrailsCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities36D0930653
- Southern Ohio Correctional FacilityCertificate of Waiver, Other36D0683346
Related
Questions
What is the CLIA number for Edgewood Manor II of Lucasville in Lucasville?
36D0656473, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Edgewood Manor II of Lucasville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0656473 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.