CLIA lab
CLIA 36D2173888: Avita Health System DR Anne Clark
Bucyrus, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2173888 belongs to Avita Health System DR Anne Clark in Bucyrus, OH.
Certificate for Provider-Performed Microscopy Procedures, effective October 21, 2025, expires October 20, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 21, 2025
- Certificate expiration
- October 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 2019
- Facility type
- Physician office
- 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
- 36D2173888
- Lab name
- Avita Health System DR Anne Clark
- Address
- 512 Hill Street, Bucyrus, OH 44820
- Phone
- (419) 563-9875
- Fax
- (419) 563-9877
Annual test volume the lab reported
- Waived tests
- 2,500
- Provider-performed microscopy tests
- 2,500
- Total
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bucyrus, OH
- A New DayCertificate of Waiver, Other36D2165690
- Altercare of Bucyrus Center forCertificate of Waiver, Skilled nursing or nursing facility36D0656228
- Avita Bucyrus HospitalCertificate of Waiver, Physician office36D2188902
- Avita Health SystemCertificate of Waiver, Physician office36D2031596
- Avita Health System Addiction MedicineCertificate of Waiver, Physician office36D2339932
- Behavioral Concepts of OhioCertificate of Waiver, Other36D2273478
- Bucyrus Community HospitalCertificate of Accreditation, Hospital36D0343902
- Bucyrus Community HospitalCertificate of Waiver, Hospital36D2091486
- Bucyrus Health and WellnessCertificate of Waiver, Federally qualified health center36D2170692
- Bucyrus Internal MedicineCertificate of Waiver, Physician office36D0965683
Related
Questions
What is the CLIA number for Avita Health System DR Anne Clark in Bucyrus?
36D2173888, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Avita Health System DR Anne Clark hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 36D2173888 expire?
The CMS file lists October 20, 2027 as the certificate expiration date; the certificate took effect October 21, 2025.