CLIA lab
CLIA 36D2113307: Licking Memorial Hospital - Medication
Newark, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2113307 belongs to Licking Memorial Hospital - Medication in Newark, OH.
Certificate of Waiver, effective May 19, 2026, expires May 18, 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
- May 19, 2026
- Certificate expiration
- May 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 19, 2016
- Facility type
- Ancillary test site
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D2113307
- Lab name
- Licking Memorial Hospital - Medication
- Additional name
- Therapy Clinic
- Address
- 88 Mcmillen Drive, Newark, OH 43055
- Phone
- (220) 564-4155
- Fax
- (220) 564-4166
Annual test volume the lab reported
- Waived tests
- 15,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Newark, OH
- Altercare Newark NorthCertificate of Waiver, Skilled nursing or nursing facility36D2022013
- Altercare Newark SouthCertificate of Waiver, Skilled nursing or nursing facility36D1000179
- Altercare Newark South AssistedCertificate of Waiver, Assisted living facility36D2208620
- American Eagle Newark LLC, DBACertificate of Waiver, Assisted living facility36D1082909
- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2344321
- Arlington Care CenterCertificate of Waiver, Skilled nursing or nursing facility36D0327610
- Befford Spine and RehabCertificate of Waiver, Other practitioner36D1060378
- Behavioral Healthcare Partners ofCertificate of Waiver, Other practitioner36D2070381
- Biomat Holdings, LLC - GrifolsCertificate of Accreditation, Other36D2285020
- Brightview, LLCCertificate of Waiver, Physician office36D2223904
Related
Questions
What is the CLIA number for Licking Memorial Hospital - Medication in Newark?
36D2113307, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Licking Memorial Hospital - Medication hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2113307 expire?
The CMS file lists May 18, 2028 as the certificate expiration date; the certificate took effect May 19, 2026.