CLIA lab
CLIA 36D2011498: Country Club Retirement Center IV
Bellaire, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2011498 belongs to Country Club Retirement Center IV in Bellaire, OH.
Certificate of Waiver, effective August 17, 2026, expires August 16, 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
- August 17, 2026
- Certificate expiration
- August 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2010
- Facility type
- Skilled nursing or nursing 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
- 36D2011498
- Lab name
- Country Club Retirement Center IV
- Address
- 55801 Conno-Mara Drive, Bellaire, OH 43906
- Phone
- (740) 676-2300
- Fax
- (740) 676-1277
Annual test volume the lab reported
- Waived tests
- 7,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Country Club Retirement CTR IVCMS Care Compare ratings for the facility at the same street address
Other labs in Bellaire, OH
- Bellaire Health CenterCertificate of Waiver, Physician office36D2165149
- Kroger PharmacyCertificate of Waiver, Pharmacy36D2112414
- Ohhc BellaireCertificate of Waiver, Federally qualified health center36D2314527
- Save Rite PharmacyCertificate of Waiver, Pharmacy36D1094137
- Walgreens #17284Certificate of Waiver, Pharmacy36D2221820
Related
Questions
What is the CLIA number for Country Club Retirement Center IV in Bellaire?
36D2011498, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Country Club Retirement Center IV hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2011498 expire?
The CMS file lists August 16, 2028 as the certificate expiration date; the certificate took effect August 17, 2026.