CLIA lab

CLIA 36D1104667: Amber Park Assisted Living

Pickerington, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 36D1104667 belongs to Amber Park Assisted Living in Pickerington, OH.

Certificate of Waiver, effective October 13, 2024, expiration date October 12, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 13, 2024
Certificate expiration
October 12, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 8, 2009
Facility type
Assisted living facility
Ownership (control type)
Proprietary
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
36D1104667
Lab name
Amber Park Assisted Living
Address
401 Hill Road North, Pickerington, OH 43147
Phone
(614) 834-3113
Fax
(614) 834-3127

Annual test volume the lab reported

Waived tests
8,000

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 Amber Park Assisted Living in Pickerington?

36D1104667, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Amber Park Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D1104667 expire?

The CMS file lists October 12, 2026 as the certificate expiration date; the certificate took effect October 13, 2024.

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