CLIA lab

CLIA 36D2138400: Wyandot Medical Providers at

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

CLIA number 36D2138400 belongs to Wyandot Medical Providers at in Sycamore, OH.

Certificate of Waiver, effective October 17, 2025, expires October 16, 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 Waiver
Certificate effective
October 17, 2025
Certificate expiration
October 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 17, 2017
Facility type
Rural health clinic
Ownership (control type)
Government, other
Lab classification
CLIA laboratory
Directly affiliated labs
7

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
36D2138400
Lab name
Wyandot Medical Providers at
Additional name
Sycamore
Address
412 West Saffell Avenue, Sycamore, OH 44882
Phone
(419) 927-6552
Fax
(419) 927-6500

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Related

Questions

What is the CLIA number for Wyandot Medical Providers at in Sycamore?

36D2138400, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wyandot Medical Providers at hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2138400 expire?

The CMS file lists October 16, 2027 as the certificate expiration date; the certificate took effect October 17, 2025.

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