CLIA lab
CLIA 36D2134089: Licking Memorial Hospital
Newark, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2134089 belongs to Licking Memorial Hospital in Newark, OH.
Certificate of Compliance, effective October 30, 2025, expires October 29, 2027.
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 Compliance
- Certificate effective
- October 30, 2025
- Certificate expiration
- October 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 25, 2017
- Facility type
- Physician office
- Ownership (control type)
- 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
- 36D2134089
- Lab name
- Licking Memorial Hospital
- Additional name
- Dermatology Clinic West Main
- Address
- 1717 West Main Street, Suite 204, Newark, OH 43055
- Phone
- (220) 564-7955
- Fax
- (220) 564-7956
Annual test volume the lab reported
- Provider-performed microscopy tests
- 100
- Other nonwaived tests
- 600
- Total
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Newark, OH
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- 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 in Newark?
36D2134089, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Licking Memorial Hospital hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 36D2134089 expire?
The CMS file lists October 29, 2027 as the certificate expiration date; the certificate took effect October 30, 2025.