Medical Waste Disposal in Ohio

Clean Waste Medical coordinates compliant regulated medical waste, sharps and pharmaceutical waste pickup for healthcare facilities across Ohio. Scheduled or on-call service, compliant containers and a manifest for every collection.

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Medical waste rules in Ohio

Ohio calls it infectious waste. Ohio EPA regulates generators under Ohio Revised Code 3734.021 and Ohio Administrative Code Chapter 3745-570, which replaced the old Chapter 3745-27 rules on April 6, 2025. The line that matters is 50 pounds a month: below it a practice is a small generator with light duties, at or above it a large generator that registers with Ohio EPA.

  • Small generators (OAC 3745-570-110): less than 50 pounds of infectious waste in any one month at a premises. They separate infectious waste at the point of generation, put sharps in a labeled sharps container, weigh and record their monthly generation for each premises, and treat cultures on site or through a licensed facility. Packaged and labeled to federal (DOT) standards, a small generator's other infectious waste may go out with solid waste.
  • Large generators (OAC 3745-570-120, 3745-570-125): 50 pounds or more in any one month. They apply for a registration certificate within 30 days after the end of that month, with a $140 fee; the certificate covers every premises, lasts three years and is renewed 30 days before it expires. They segregate into biohazard-labeled containers, never compact untreated waste, and send it to a licensed Ohio treatment facility or an out-of-state facility.
  • Storage (OAC 3745-570-31, 3745-570-100): containers are kept intact and non-putrescent, refrigerated or frozen if needed; indoor storage carries the biohazard symbol at every access point and outdoor storage is locked; self-storage units are prohibited. Closed containers must reach a treatment facility, or lawful disposal for small generators, within 60 days.
  • Transport: Ohio does not license infectious waste transporters. Packaging for shipment follows the US DOT rules in 49 CFR Parts 173 and 178, and large generators also follow OSHA 29 CFR 1910.1030.
  • Records: large generators keep disposal papers for waste treated on site for at least five years (OAC 3745-570-120); small generators keep their monthly weight records and produce them on request.

Source: Ohio EPA, Ohio Administrative Code Chapter 3745-570, Infectious Waste.

Reviewed September 2026.

This summary is general information, not legal advice. Requirements change; we confirm what applies to your facility during onboarding.Regulations by state

Services in Ohio

  1. Regulated Medical Waste and Biohazard Waste DisposalScheduled or on-call pickup of regulated medical waste, also called biohazard or red bag waste, from healthcare facilities: compliant containers, permitted transport and a manifest for every collection.Red bag, cardboard box
  2. Sharps Waste DisposalSharps container supply, exchange and disposal for practices of every size, from a single dental office to a hospital network.Red sharps container
  3. Pharmaceutical Waste DisposalCompliant collection and disposal of expired, unused and partially used non-hazardous pharmaceuticals, with the right stream for each drug.Blue container
  4. Trace Chemotherapy Waste DisposalYellow-container collection for trace chemotherapy waste from oncology, infusion and specialty practices.Yellow container
  5. RCRA Hazardous Pharmaceutical WasteBlack-container programs for RCRA-listed and characteristic hazardous pharmaceutical waste, with generator-status guidance and cradle-to-grave documentation.Black container
  6. Pathological Waste DisposalDedicated, labeled collection for tissues, organs and surgical specimens from surgery centers, labs, dermatology practices and veterinary clinics.Red bag, pathology label

Facilities we serve in Ohio

All facility types

Ohio service questions

Do you serve every part of Ohio?

We coordinate service through a network of qualified providers, and coverage in Ohio is confirmed address by address. Tell us your address and operations confirms whether a route is available before anything is promised.

Which rules apply to medical waste in Ohio?

Medical waste is regulated at the state level, alongside the federal OSHA, DOT and EPA rules that apply everywhere. The summary above covers the Ohio requirements that most affect small and mid-size generators. See our regulations guide for the federal picture and links to every state.

What waste streams can you pick up in Ohio?

Regulated (biohazardous) medical waste, sharps, pharmaceutical waste, trace chemotherapy waste, RCRA hazardous pharmaceutical waste and pathological waste, subject to verification of each stream at onboarding.

We are under contract. Can we still talk?

Of course. Most facilities are. Share your renewal date and we will follow up before it, so you can compare options without being rushed.

Medical waste pickup in Ohio

Send us your facility list and current schedule. We reply with a clear quote and a start date operations has confirmed.

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