CLIA lab
CLIA 36D1095069: Licking Memorial Hospital Urgent Care
Pataskala, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1095069 belongs to Licking Memorial Hospital Urgent Care in Pataskala, OH.
Certificate of Waiver, effective February 2, 2025, expires February 1, 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
- February 2, 2025
- Certificate expiration
- February 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 2, 2009
- Facility type
- Ancillary test site
- 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
- 36D1095069
- Lab name
- Licking Memorial Hospital Urgent Care
- Address
- One Healthy Place, Pataskala, OH 43062
- Phone
- (740) 348-4193
Annual test volume the lab reported
- Waived tests
- 4,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pataskala, OH
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- Kohls Health and Wellness CenterCertificate of Waiver, Physician office36D2180756
- Kroger Pharmacy #16591Certificate of Waiver, Pharmacy36D1089935
- Licking Memorial Family PracticeCertificate of Waiver, Physician office36D0987961
- Licking Memorial Health Center atCertificate of Waiver, Physician office36D2287028
- Licking Memorial Health SystemsCertificate for Provider-Performed Microscopy Procedures, Physician office36D2080678
- Licking Memorial Pediatrics PataskalaCertificate of Waiver, Physician office36D0957202
- Licking Memorial Women's HealthCertificate of Waiver, Physician office36D1036913
- Little Clinic of Ohio LLC, theCertificate of Waiver, Other36D2059800
- Medcor Clinic at Jeld-Wen-PataskalaCertificate of Waiver, Industrial36D2343865
Related
Questions
What is the CLIA number for Licking Memorial Hospital Urgent Care in Pataskala?
36D1095069, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Licking Memorial Hospital Urgent Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1095069 expire?
The CMS file lists February 1, 2027 as the certificate expiration date; the certificate took effect February 2, 2025.