CLIA lab
CLIA 36D2319212: Indiana Direct Primary Care
Hicksville, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2319212 belongs to Indiana Direct Primary Care in Hicksville, OH.
Certificate of Waiver, effective February 25, 2025, expires February 24, 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
- February 25, 2025
- Certificate expiration
- February 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 25, 2025
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D2319212
- Lab name
- Indiana Direct Primary Care
- Address
- 100 N Main Street, Hicksville, OH 43526
- Phone
- (419) 301-9371
- Fax
- (567) 250-2155
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 Hicksville, OH
- Hicksville Family Eye CareCertificate of Waiver, Other practitioner36D2112716
- Hicksville Pharmacy and Home Medical, IncCertificate of Waiver, Pharmacy36D2186514
- Hicksville Rescue SquadCertificate of Waiver, Ambulance36D2062927
- Vancrest of HicksvilleCertificate of Waiver, Skilled nursing or nursing facility36D2218038
- Vancrest of HicksvilleCertificate of Waiver, Skilled nursing or nursing facility36D2301061
Related
Questions
What is the CLIA number for Indiana Direct Primary Care in Hicksville?
36D2319212, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Indiana Direct Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2319212 expire?
The CMS file lists February 24, 2027 as the certificate expiration date; the certificate took effect February 25, 2025.