CLIA lab
CLIA 36D2258522: Wyandot Medical Providers at Forest
Forest, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2258522 belongs to Wyandot Medical Providers at Forest in Forest, OH.
Certificate of Waiver, effective April 22, 2026, expires April 21, 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
- April 22, 2026
- Certificate expiration
- April 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 22, 2022
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D2258522
- Lab name
- Wyandot Medical Providers at Forest
- Address
- 112 East Lima Street, Forest, OH 45843
- Phone
- (419) 273-5104
- Fax
- (419) 273-5106
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.
Affiliated CLIA numbers
Other labs in Forest, OH
Related
Questions
What is the CLIA number for Wyandot Medical Providers at Forest in Forest?
36D2258522, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wyandot Medical Providers at Forest hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2258522 expire?
The CMS file lists April 21, 2028 as the certificate expiration date; the certificate took effect April 22, 2026.