CLIA lab

CLIA 36D1051343: KCH Eastside Pharmacy

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

CLIA number 36D1051343 belongs to KCH Eastside Pharmacy in Mount Vernon, OH.

Certificate of Waiver, effective March 1, 2026, expires February 29, 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 1, 2026
Certificate expiration
February 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 1, 2006
Facility type
Pharmacy
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
36D1051343
Lab name
KCH Eastside Pharmacy
Address
1451 Yauger Road, Mount Vernon, OH 43050
Phone
(740) 397-1420
Fax
(740) 397-2454

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 Mount Vernon, OH

Related

Questions

What is the CLIA number for KCH Eastside Pharmacy in Mount Vernon?

36D1051343, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does KCH Eastside Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D1051343 expire?

The CMS file lists February 29, 2028 as the certificate expiration date; the certificate took effect March 1, 2026.

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