CLIA lab
CLIA 36D1071280: Licking Memorial Family Practice
Newark, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1071280 belongs to Licking Memorial Family Practice in Newark, OH.
Certificate of Waiver, effective July 23, 2025, expires July 22, 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 23, 2025
- Certificate expiration
- July 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 23, 2007
- 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
- 36D1071280
- Lab name
- Licking Memorial Family Practice
- Additional name
- North Newark
- Address
- 270 Goose Pond Road, Newark, OH 43055
- Phone
- (220) 564-7960
- Fax
- (220) 564-7961
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Newark, OH
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- Altercare Newark SouthCertificate of Waiver, Skilled nursing or nursing facility36D1000179
- Altercare Newark South AssistedCertificate of Waiver, Assisted living facility36D2208620
- American Eagle Newark LLC, DBACertificate of Waiver, Assisted living facility36D1082909
- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2344321
- Arlington Care CenterCertificate of Waiver, Skilled nursing or nursing facility36D0327610
- Befford Spine and RehabCertificate of Waiver, Other practitioner36D1060378
- Behavioral Healthcare Partners ofCertificate of Waiver, Other practitioner36D2070381
- Biomat Holdings, LLC - GrifolsCertificate of Accreditation, Other36D2285020
- Brightview, LLCCertificate of Waiver, Physician office36D2223904
Related
Questions
What is the CLIA number for Licking Memorial Family Practice in Newark?
36D1071280, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Licking Memorial Family Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1071280 expire?
The CMS file lists July 22, 2027 as the certificate expiration date; the certificate took effect July 23, 2025.