CLIA lab
CLIA 36D2195011: Wayside Farm Inc DBA Northampton
Peninsula, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2195011 belongs to Wayside Farm Inc DBA Northampton in Peninsula, OH.
Certificate of Waiver, effective October 6, 2026, expires October 5, 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
- October 6, 2026
- Certificate expiration
- October 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 2020
- Facility type
- Other
- 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
- 36D2195011
- Lab name
- Wayside Farm Inc DBA Northampton
- Additional name
- Meadows (Group Home)
- Address
- 4557 Quick Road, Peninsula, OH 44264
- Phone
- (330) 923-7828
- Fax
- (330) 923-1201
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.
Other labs in Peninsula, OH
Related
Questions
What is the CLIA number for Wayside Farm Inc DBA Northampton in Peninsula?
36D2195011, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wayside Farm Inc DBA Northampton hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2195011 expire?
The CMS file lists October 5, 2028 as the certificate expiration date; the certificate took effect October 6, 2026.