CLIA lab
CLIA 36D2111825: Wyandot Memorial Hospital Physician
Upper Sandusky, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2111825 belongs to Wyandot Memorial Hospital Physician in Upper Sandusky, OH.
Certificate of Waiver, effective April 15, 2026, expires April 14, 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
- April 15, 2026
- Certificate expiration
- April 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 15, 2016
- Facility type
- Hospital
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D2111825
- Lab name
- Wyandot Memorial Hospital Physician
- Additional name
- & Specialty Services
- Address
- 885 N Sandusky Avenue, Upper Sandusky, OH 43351
- Phone
- (419) 294-4991
- Fax
- (419) 209-0278
Annual test volume the lab reported
- Waived tests
- 1
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Wyandot Memorial HospitalCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Upper Sandusky, OH
- Damo - Upper SanduskyCertificate of Waiver, Physician office36D2331698
- Discount Drug Mart #43Certificate of Waiver, Pharmacy36D1077987
- Hospice of Wyandot MemorialCertificate of Waiver, Hospice36D0877276
- ProspiraCertificate of Waiver, Other36D2250904
- UrgentcareCertificate of Waiver, Other practitioner36D2091206
- Walmart Pharmacy #10-3809Certificate of Waiver, Pharmacy36D2159658
- Wyandot Co Skilled Nursing & RehabCertificate of Waiver, Skilled nursing or nursing facility36D0870309
- Wyandot County Health DepartmentCertificate of Waiver, Community clinic36D0683859
- Wyandot County Medical ServicesCertificate of Waiver, Ambulance36D0860922
- Wyandot Dialysis Clinic LLCCertificate of Waiver, End stage renal disease dialysis facility36D2185171
Related
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- Wyandot Memorial Hospital: CMS ratings
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- Home Health Agencies in Upper Sandusky, OH
- Hospices in Upper Sandusky, OH
- Dialysis Centers in Upper Sandusky, OH
- Hospitals in Upper Sandusky, OH
- NPI records in Upper Sandusky, OH
- CLIA lookup
Questions
What is the CLIA number for Wyandot Memorial Hospital Physician in Upper Sandusky?
36D2111825, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wyandot Memorial Hospital Physician hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2111825 expire?
The CMS file lists April 14, 2028 as the certificate expiration date; the certificate took effect April 15, 2026.