CLIA lab
CLIA 36D1069634: Mental Health Services for Clark and
London, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1069634 belongs to Mental Health Services for Clark and in London, OH.
Certificate of Waiver, effective June 11, 2025, expires June 10, 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
- June 11, 2025
- Certificate expiration
- June 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 11, 2007
- Facility type
- Other practitioner
- 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
- 36D1069634
- Lab name
- Mental Health Services for Clark and
- Additional name
- Madison Counties, Inc
- Address
- 210 N Main Street, London, OH 43140
- Phone
- (937) 629-3046
- Fax
- (937) 342-4242
Annual test volume the lab reported
- Waived tests
- 52
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in London, OH
- Bluebird Retirement CommunityCertificate of Waiver, Assisted living facility36D2108293
- Buckeye ClinicCertificate of Waiver, Physician office36D2302126
- Complete HealthcareCertificate for Provider-Performed Microscopy Procedures, Other36D2305941
- FMC Dialysis Services of LondonCertificate of Waiver, End stage renal disease dialysis facility36D0993325
- Kroger Pharmacy #388Certificate of Waiver, Pharmacy36D1053262
- London Correctional InstitutionCertificate of Waiver, Prison36D0683146
- London Health and Rehab AkaCertificate of Waiver, Skilled nursing or nursing facility36D0328539
- Madison Correctional InstitutionCertificate of Waiver, Prison36D0683916
- Madison County Emergency Medical DistrictCertificate of Waiver, Ambulance36D2079201
- Madison County Hospital DBA Madison HealthCertificate of Accreditation, Hospital36D0328548
Related
Questions
What is the CLIA number for Mental Health Services for Clark and in London?
36D1069634, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mental Health Services for Clark and hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1069634 expire?
The CMS file lists June 10, 2027 as the certificate expiration date; the certificate took effect June 11, 2025.