CLIA lab
CLIA 36D2339367: Memorial Primary Care | Jerome
Plain City, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2339367 belongs to Memorial Primary Care | Jerome in Plain City, OH.
Certificate of Waiver, effective March 2, 2026, expires March 1, 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 2, 2026
- Certificate expiration
- March 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 2, 2026
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 36D2339367
- Lab name
- Memorial Primary Care | Jerome
- Address
- 11850 Sycamore Trace Suite 2A, Plain City, OH 43064
- Phone
- (614) 881-3490
- Fax
- (614) 881-3545
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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- 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 Occupational Health JeromeCertificate of Waiver, Physician office36D2263499
- Memorial Specialty Care Practices | JeromeCertificate of Waiver, Physician office36D2339368
Related
Questions
What is the CLIA number for Memorial Primary Care | Jerome in Plain City?
36D2339367, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Primary Care | Jerome hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2339367 expire?
The CMS file lists March 1, 2028 as the certificate expiration date; the certificate took effect March 2, 2026.