CLIA lab

CLIA 36D2080678: Licking Memorial Health Systems

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

CLIA number 36D2080678 belongs to Licking Memorial Health Systems in Pataskala, OH.

Certificate for Provider-Performed Microscopy Procedures, effective July 14, 2026, expires July 13, 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 for Provider-Performed Microscopy Procedures
Certificate effective
July 14, 2026
Certificate expiration
July 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 14, 2014
Facility type
Physician office
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
36D2080678
Lab name
Licking Memorial Health Systems
Additional name
Pataskala Health Campus
Address
One Healthy Place Ste 205, Pataskala, OH 43062
Phone
(740) 348-1930
Fax
(740) 348-1931

Annual test volume the lab reported

Waived tests
1
Provider-performed microscopy tests
49
Total
50

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 Licking Memorial Health Systems in Pataskala?

36D2080678, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Licking Memorial Health Systems hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 36D2080678 expire?

The CMS file lists July 13, 2028 as the certificate expiration date; the certificate took effect July 14, 2026.

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