CLIA lab
CLIA 36D0900995: Country Club Retirement Campus
Dover, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0900995 belongs to Country Club Retirement Campus in Dover, OH.
Certificate of Waiver, effective May 12, 2025, expires May 11, 2027.
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
- May 12, 2025
- Certificate expiration
- May 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 1995
- 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
- 36D0900995
- Lab name
- Country Club Retirement Campus
- Additional name
- At Dover
- Address
- 860 E Iron Ave, Dover, OH 44622
- Phone
- (330) 343-5568
- Fax
- (330) 343-0514
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Country Club Retirement Campus in Dover?
36D0900995, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Country Club Retirement Campus hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0900995 expire?
The CMS file lists May 11, 2027 as the certificate expiration date; the certificate took effect May 12, 2025.