CLIA lab
CLIA 36D2210277: Country Club of MT Vernon
Mount Vernon, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2210277 belongs to Country Club of MT Vernon in Mount Vernon, OH.
Certificate of Waiver, effective January 20, 2025, expires January 19, 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
- January 20, 2025
- Certificate expiration
- January 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 20, 2021
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D2210277
- Lab name
- Country Club of MT Vernon
- Address
- 1350 Yauger Road, Mount Vernon, OH 43050
- Phone
- (740) 397-2350
- Fax
- (740) 393-0546
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.
Affiliated CLIA numbers
Other labs in Mount Vernon, OH
- Alcohol and Drug Freedom Center of Knox CountyCertificate of Waiver, Other36D2343899
- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2290395
- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2344373
- Apple Valley DialysisCertificate of Waiver, End stage renal disease dialysis facility36D2062677
- Ariel Clinic-Knox Community HospitalCertificate of Waiver, Physician office36D2019337
- Avalon Health & Rehab Center, LLCCertificate of Waiver, Skilled nursing or nursing facility36D0327524
- Carpenter Dental GroupCertificate of Waiver, Other practitioner36D2201070
- Centerwell Home Health IICertificate of Waiver, Home health agency36D1008484
- Central Ohio Urology GroupCertificate of Waiver, Physician office36D2267398
- Country Club Retirement Center IICertificate of Waiver, Skilled nursing or nursing facility36D0875695
Related
Questions
What is the CLIA number for Country Club of MT Vernon in Mount Vernon?
36D2210277, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Country Club of MT Vernon hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2210277 expire?
The CMS file lists January 19, 2027 as the certificate expiration date; the certificate took effect January 20, 2025.