CLIA lab
CLIA 36D2227600: Indian River Juvenile Correctional
Massillon, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2227600 belongs to Indian River Juvenile Correctional in Massillon, OH.
Certificate of Waiver, effective June 15, 2025, expires June 14, 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
- June 15, 2025
- Certificate expiration
- June 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 15, 2021
- Facility type
- Prison
- Ownership (control type)
- Government, state
- 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
- 36D2227600
- Lab name
- Indian River Juvenile Correctional
- Additional name
- Facility
- Address
- 2775 Indian River Rd SW, Attn Stephanie Everett, Massillon, OH 44646
- Phone
- (330) 236-5683
- Fax
- (330) 832-5247
Annual test volume the lab reported
- Waived tests
- 2,000
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 Indian River Juvenile Correctional in Massillon?
36D2227600, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Indian River Juvenile Correctional hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2227600 expire?
The CMS file lists June 14, 2027 as the certificate expiration date; the certificate took effect June 15, 2025.