CLIA lab

CLIA 36D0679149: Selby General Hospital

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

CLIA number 36D0679149 belongs to Selby General Hospital in Vincent, OH.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 14, 1993
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
36D0679149
Lab name
Selby General Hospital
Address
40 White Oak Professional Ctr, Vincent, OH 45784
Phone
(740) 236-9047
Fax
(740) 374-3165

Annual test volume the lab reported

Waived tests
1,163

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

Other labs in Vincent, OH

Related

Questions

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

36D0679149, 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 36D0679149 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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