CLIA lab
CLIA 36D0656474: Edgewood Manor I of Lucasville
Lucasville, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0656474 belongs to Edgewood Manor I 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
- 36D0656474
- Lab name
- Edgewood Manor I of Lucasville
- Address
- 10098 Big Bear Creek Road, Lucasville, OH 45648
- Phone
- (740) 259-5536
- Fax
- (740) 259-1334
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.
Care facility at this address
- Edgewood Manor of Lucasville ICMS Care Compare ratings for the facility at the same street address
Other labs in Lucasville, OH
- Edgewood Manor II of LucasvilleCertificate of Waiver, Skilled nursing or nursing facility36D0656473
- 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 I of Lucasville in Lucasville?
36D0656474, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Edgewood Manor I of Lucasville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0656474 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.