CLIA lab

CLIA 36D2196672: Inn at the Pines Assisted Living

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

CLIA number 36D2196672 belongs to Inn at the Pines Assisted Living in Hiram, OH.

Certificate of Waiver, effective October 19, 2024, expiration date October 18, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 19, 2024
Certificate expiration
October 18, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 19, 2020
Facility type
Assisted living facility
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
36D2196672
Lab name
Inn at the Pines Assisted Living
Address
18144 Claridon Troy Road, Hiram, OH 44234
Phone
(440) 834-0260
Fax
(440) 834-0269

Annual test volume the lab reported

Waived tests
5,000

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 Inn at the Pines Assisted Living in Hiram?

36D2196672, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Inn at the Pines Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2196672 expire?

The CMS file lists October 18, 2026 as the certificate expiration date; the certificate took effect October 19, 2024.

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