CLIA lab

CLIA 36D2123214: Licking Memorial Health Systems

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

CLIA number 36D2123214 belongs to Licking Memorial Health Systems in Newark, OH.

Certificate of Waiver, effective December 15, 2024, expires December 14, 2026.

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
December 15, 2024
Certificate expiration
December 14, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 15, 2016
Facility type
Ancillary test site
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
36D2123214
Lab name
Licking Memorial Health Systems
Additional name
Urgent Care
Address
20 West Locust Street, Newark, OH 43055
Phone
(220) 564-7700
Fax
(220) 564-7701

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Newark, OH

Related

Questions

What is the CLIA number for Licking Memorial Health Systems in Newark?

36D2123214, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Licking Memorial Health Systems hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2123214 expire?

The CMS file lists December 14, 2026 as the certificate expiration date; the certificate took effect December 15, 2024.

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