CLIA lab
CLIA 36D0995640: Lake Health Physician Group North
Concord, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0995640 belongs to Lake Health Physician Group North in Concord, OH.
Certificate of Waiver, effective October 31, 2024, expires October 30, 2026.
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
- October 31, 2024
- Certificate expiration
- October 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2002
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 36D0995640
- Lab name
- Lake Health Physician Group North
- Additional name
- Coast Family Practice
- Address
- 7580 Auburn Road Suite 202, Concord, OH 44077
- Phone
- (440) 352-0400
- Fax
- (440) 352-4535
Annual test volume the lab reported
- Waived tests
- 6,000
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 Lake Health Physician Group North in Concord?
36D0995640, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Health Physician Group North hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0995640 expire?
The CMS file lists October 30, 2026 as the certificate expiration date; the certificate took effect October 31, 2024.