CLIA lab
CLIA 36D2112171: Mercy Health Pemberville
Pemberville, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2112171 belongs to Mercy Health Pemberville in Pemberville, OH.
Certificate of Waiver, effective April 25, 2026, expires April 24, 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 25, 2026
- Certificate expiration
- April 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 2016
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 36D2112171
- Lab name
- Mercy Health Pemberville
- Additional name
- Primary Care
- Address
- 20311 Pemberville Rd, Lower Level, Pemberville, OH 43450
- Phone
- (419) 801-4131
- Fax
- (419) 931-3046
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pemberville, OH
Related
Questions
What is the CLIA number for Mercy Health Pemberville in Pemberville?
36D2112171, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mercy Health Pemberville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2112171 expire?
The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.