CLIA lab
CLIA 36D0904253: Memorial Family Medicine Plain City
Plain City, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0904253 belongs to Memorial Family Medicine Plain City in Plain City, OH.
Certificate of Waiver, effective March 20, 2025, expires March 19, 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
- March 20, 2025
- Certificate expiration
- March 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 14, 1995
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 36D0904253
- Lab name
- Memorial Family Medicine Plain City
- Address
- 480 S Jefferson Ave Suite 500, Plain City, OH 43064
- Phone
- (614) 873-3434
- Fax
- (937) 644-6989
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- CompdrugCertificate of Accreditation, Physician office36D2278106
- Heritage Senior Living of Plain City, LLCCertificate of Waiver, Assisted living facility36D2016478
- Jerome Township Division of FireCertificate of Waiver, Ambulance36D1009835
- Kroger Pharmacy #016-385Certificate of Waiver, Pharmacy36D2312450
- Lucid Diagnostic Lab, LLC DBA SV Diagnostic LabCertificate of Accreditation, Independent36D2158721
- Mckinley Hall, IncCertificate of Accreditation, Physician office36D2272711
- Memorial Occupational Health JeromeCertificate of Waiver, Physician office36D2263499
- Memorial Primary Care | JeromeCertificate of Waiver, Physician office36D2339367
- Memorial Specialty Care Practices | JeromeCertificate of Waiver, Physician office36D2339368
Related
Questions
What is the CLIA number for Memorial Family Medicine Plain City in Plain City?
36D0904253, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Family Medicine Plain City hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0904253 expire?
The CMS file lists March 19, 2027 as the certificate expiration date; the certificate took effect March 20, 2025.