CLIA lab

CLIA 36D0351164: Selby General Hospital

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

CLIA number 36D0351164 belongs to Selby General Hospital in Waterford, OH.

Certificate of Waiver, effective April 11, 2026, expires April 10, 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
April 11, 2026
Certificate expiration
April 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Rural health clinic
Ownership (control type)
Private
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
36D0351164
Lab name
Selby General Hospital
Address
151 Anderson Lane, Waterford, OH 45786
Phone
(740) 984-2332
Fax
(740) 984-4435

Annual test volume the lab reported

Waived tests
473

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

Related

Questions

What is the CLIA number for Selby General Hospital in Waterford?

36D0351164, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Selby General Hospital hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D0351164 expire?

The CMS file lists April 10, 2028 as the certificate expiration date; the certificate took effect April 11, 2026.

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