CLIA lab
CLIA 36D2105608: Hickory Medical Direct Primary Care
Bellefontaine, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2105608 belongs to Hickory Medical Direct Primary Care in Bellefontaine, OH.
Certificate for Provider-Performed Microscopy Procedures, effective December 1, 2025, expires November 30, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 1, 2025
- Certificate expiration
- November 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 1, 2015
- Facility type
- Physician office
- 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
- 36D2105608
- Lab name
- Hickory Medical Direct Primary Care
- Address
- 1125 Rush Avenue, Bellefontaine, OH 43311
- Phone
- (937) 404-2488
- Fax
- (937) 404-2428
Annual test volume the lab reported
- Waived tests
- 400
- Provider-performed microscopy tests
- 200
- Total
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Calvary Christian SchoolCertificate of Waiver, School or student health service36D2321808
- Campbell PlaceCertificate of Waiver, Assisted living facility36D2063389
- Community Health & WellnessCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center36D2147414
- Costin Family Practice IncCertificate of Waiver, Physician office36D0717102
- Family Urgent CareCertificate of Waiver, Other36D2131881
- High Point Home Health LTDCertificate of Waiver, Home health agency36D0999657
- Highpoint Mental Health LLCCertificate of Waiver, Other practitioner36D2319871
- Kroger Pharmacy #832Certificate of Waiver, Pharmacy36D2038210
Related
Questions
What is the CLIA number for Hickory Medical Direct Primary Care in Bellefontaine?
36D2105608, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hickory Medical Direct Primary Care hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 36D2105608 expire?
The CMS file lists November 30, 2027 as the certificate expiration date; the certificate took effect December 1, 2025.