CLIA lab

CLIA 36D2123659: Henry County South Joint Ambulance

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

CLIA number 36D2123659 belongs to Henry County South Joint Ambulance in Hamler, OH.

Certificate of Waiver, effective December 28, 2024, expires December 27, 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 28, 2024
Certificate expiration
December 27, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 28, 2016
Facility type
Ambulance
Ownership (control type)
Government, other
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
36D2123659
Lab name
Henry County South Joint Ambulance
Additional name
District
Address
625 Edgerton Street, Hamler, OH 43524
Phone
(419) 274-2055
Fax
(419) 274-3755

Annual test volume the lab reported

Waived tests
450

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

Related

Questions

What is the CLIA number for Henry County South Joint Ambulance in Hamler?

36D2123659, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Henry County South Joint Ambulance hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2123659 expire?

The CMS file lists December 27, 2026 as the certificate expiration date; the certificate took effect December 28, 2024.

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