CLIA lab
CLIA 36D0723403: Countryside Manor Nursing and Rehab LLC
Fremont, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0723403 belongs to Countryside Manor Nursing and Rehab LLC in Fremont, 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
- May 26, 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
- 36D0723403
- Lab name
- Countryside Manor Nursing and Rehab LLC
- Address
- 1865 Countryside Drive, Fremont, OH 43420
- Phone
- (419) 334-2602
- Fax
- (419) 334-6287
Annual test volume the lab reported
- Waived tests
- 10,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Countryside Manor Nursing and Rehabilitation LLCCMS Care Compare ratings for the facility at the same street address
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- Bethesda Care Center LaboratoryCertificate of Registration, Ancillary test site36D2314415
- Clara M Schermerhorn MDCertificate of Waiver, Physician office36D0330992
- Community Health ServicesCertificate of Waiver, Federally qualified health center36D0331024
- Crown Battery Manufacturing CompanyCertificate of Waiver, Industrial36D2055607
- Dialysis Centers of Northwest Ohio LTDCertificate of Waiver, End stage renal disease dialysis facility36D0983007
- Elmwood of FremontCertificate of Waiver, Other36D0941280
- Everside Health Center - FremontCertificate of Waiver, Physician office36D2276922
- Fremont City SchoolsCertificate of Waiver, School or student health service36D2329448
Related
Questions
What is the CLIA number for Countryside Manor Nursing and Rehab LLC in Fremont?
36D0723403, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Countryside Manor Nursing and Rehab LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0723403 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.