CLIA lab

CLIA 36D2301061: Vancrest of Hicksville

Hicksville, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 36D2301061 belongs to Vancrest of Hicksville in Hicksville, OH.

Certificate of Waiver, effective March 20, 2026, expires March 19, 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
March 20, 2026
Certificate expiration
March 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 20, 2024
Facility type
Skilled nursing or nursing facility
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
36D2301061
Lab name
Vancrest of Hicksville
Address
601 Defiance Avenue, Hicksville, OH 43526
Phone
(419) 542-7795

Annual test volume the lab reported

Waived tests
250

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Hicksville, OH

Related

Questions

What is the CLIA number for Vancrest of Hicksville in Hicksville?

36D2301061, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Vancrest of Hicksville hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2301061 expire?

The CMS file lists March 19, 2028 as the certificate expiration date; the certificate took effect March 20, 2026.

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