CLIA lab
CLIA 36D1036911: Licking Memorial Family Practice Heath
Heath, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1036911 belongs to Licking Memorial Family Practice Heath in Heath, OH.
Certificate of Waiver, effective March 22, 2026, expires March 21, 2028.
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 22, 2026
- Certificate expiration
- March 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 11, 2005
- 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
- 36D1036911
- Lab name
- Licking Memorial Family Practice Heath
- Address
- 687 Hopewell Dr Building 2, Heath, OH 43056
- Phone
- (740) 348-7915
- Fax
- (740) 348-7916
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.
Other labs in Heath, OH
- Chapel Grove Inn,theCertificate of Waiver, Other36D1013360
- Community Living Concepts IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities36D0918137
- Family Urgent CareCertificate of Waiver, Other36D2088375
- Genesis UrogynecologyCertificate of Waiver, Physician office36D2183084
- Heath Health and Rehab Center, LLCCertificate of Waiver, Skilled nursing or nursing facility36D0655750
- Kroger PharmacyCertificate of Waiver, Pharmacy36D2112422
- Licking Memorial Dermatology - DR Bethany WylesCertificate of Waiver, Physician office36D1036912
- Walgreens #10810Certificate of Waiver, Pharmacy36D2011627
- Walmart Pharmacy #10-1594Certificate of Waiver, Pharmacy36D2167084
Related
Questions
What is the CLIA number for Licking Memorial Family Practice Heath in Heath?
36D1036911, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Licking Memorial Family Practice Heath hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1036911 expire?
The CMS file lists March 21, 2028 as the certificate expiration date; the certificate took effect March 22, 2026.