CLIA lab
CLIA 36D0936498: Mary Rutan Jackson Center
Jackson Center, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0936498 belongs to Mary Rutan Jackson Center in Jackson Center, OH.
Certificate of Waiver, effective April 1, 2025, expires March 31, 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
- April 1, 2025
- Certificate expiration
- March 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 24, 1997
- Facility type
- Hospital
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D0936498
- Lab name
- Mary Rutan Jackson Center
- Additional name
- Family Care
- Address
- 805 East Pike Street, Jackson Center, OH 45334
- Phone
- (937) 596-0456
- Fax
- (937) 596-0462
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Jackson Center, OH
- Employee Direct Care, Wilson HealthCertificate for Provider-Performed Microscopy Procedures, Physician office36D2292362
- Jackson Pharmacy & Wellness CenterCertificate of Waiver, Pharmacy36D2121415
- Plastipak Packaging, Inc -Certificate of Waiver, Physician office36D2278216
- Wilson Care LLCCertificate for Provider-Performed Microscopy Procedures, Physician office36D0890471
Related
Questions
What is the CLIA number for Mary Rutan Jackson Center in Jackson Center?
36D0936498, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mary Rutan Jackson Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0936498 expire?
The CMS file lists March 31, 2027 as the certificate expiration date; the certificate took effect April 1, 2025.