CLIA lab
CLIA 36D2263499: Memorial Occupational Health Jerome
Plain City, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2263499 belongs to Memorial Occupational Health Jerome in Plain City, OH.
Certificate of Waiver, effective June 29, 2026, expires June 28, 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
- June 29, 2026
- Certificate expiration
- June 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 29, 2022
- Facility type
- Physician office
- 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
- 36D2263499
- Lab name
- Memorial Occupational Health Jerome
- Address
- 11850 Sycamore Trace, Plain City, OH 43064
- Phone
- (937) 578-2417
- Fax
- (937) 578-2822
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- CompdrugCertificate of Accreditation, Physician office36D2278106
- Heritage Senior Living of Plain City, LLCCertificate of Waiver, Assisted living facility36D2016478
- Jerome Township Division of FireCertificate of Waiver, Ambulance36D1009835
- Kroger Pharmacy #016-385Certificate of Waiver, Pharmacy36D2312450
- Lucid Diagnostic Lab, LLC DBA SV Diagnostic LabCertificate of Accreditation, Independent36D2158721
- Mckinley Hall, IncCertificate of Accreditation, Physician office36D2272711
- Memorial Family Medicine Plain CityCertificate of Waiver, Physician office36D0904253
- Memorial Primary Care | JeromeCertificate of Waiver, Physician office36D2339367
- Memorial Specialty Care Practices | JeromeCertificate of Waiver, Physician office36D2339368
Related
Questions
What is the CLIA number for Memorial Occupational Health Jerome in Plain City?
36D2263499, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Occupational Health Jerome hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2263499 expire?
The CMS file lists June 28, 2028 as the certificate expiration date; the certificate took effect June 29, 2026.