CLIA lab
CLIA 36D2270877: Country Drive Inn Medical Practice
Mount Perry, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2270877 belongs to Country Drive Inn Medical Practice in Mount Perry, OH.
Certificate of Waiver, effective October 24, 2024, expiration date October 23, 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 24, 2024
- Certificate expiration
- October 23, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 24, 2022
- Facility type
- Other
- 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
- 36D2270877
- Lab name
- Country Drive Inn Medical Practice
- Address
- 10825 Township Road 49, Mount Perry, OH 43760
- Phone
- (740) 683-5165
Annual test volume the lab reported
- Waived tests
- 1,650
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 Country Drive Inn Medical Practice in Mount Perry?
36D2270877, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Country Drive Inn Medical Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2270877 expire?
The CMS file lists October 23, 2026 as the certificate expiration date; the certificate took effect October 24, 2024.