CLIA lab

CLIA 36D0925794: Lmpc Licking Memorial Pediatrics

Newark, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 36D0925794 belongs to Lmpc Licking Memorial Pediatrics in Newark, OH.

Certificate of Waiver, effective July 19, 2025, expires July 18, 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
July 19, 2025
Certificate expiration
July 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 7, 1997
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
36D0925794
Lab name
Lmpc Licking Memorial Pediatrics
Address
1865 Tamarack Road Building 4, Newark, OH 43055
Phone
(740) 348-4949
Fax
(740) 348-4948

Annual test volume the lab reported

Waived tests
1,700

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 Lmpc Licking Memorial Pediatrics in Newark?

36D0925794, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lmpc Licking Memorial Pediatrics hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D0925794 expire?

The CMS file lists July 18, 2027 as the certificate expiration date; the certificate took effect July 19, 2025.

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