CLIA lab
CLIA 36D2180756: Kohls Health and Wellness Center
Pataskala, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2180756 belongs to Kohls Health and Wellness Center in Pataskala, OH.
Certificate of Waiver, effective March 19, 2026, expires March 18, 2028.
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
- March 19, 2026
- Certificate expiration
- March 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 19, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 36D2180756
- Lab name
- Kohls Health and Wellness Center
- Additional name
- Etna
- Address
- 10452 Hazelton-Etna Road, Pataskala, OH 43062
- Phone
- (866) 262-7582
- Fax
- (262) 372-5603
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Kohls Health and Wellness Center in Pataskala?
36D2180756, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kohls Health and Wellness Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2180756 expire?
The CMS file lists March 18, 2028 as the certificate expiration date; the certificate took effect March 19, 2026.