CLIA lab

CLIA 36D2008167: Walgreens #11510

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

CLIA number 36D2008167 belongs to Walgreens #11510 in Beavercreek, OH.

Certificate of Waiver, effective December 14, 2024, expires December 13, 2026.

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
December 14, 2024
Certificate expiration
December 13, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
June 7, 2010
Facility type
Other
Ownership (control type)
Proprietary
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
36D2008167
Lab name
Walgreens #11510
Address
2269 N Fairfield Rd, Beavercreek, OH 45431
Phone
(937) 320-9112
Fax
(937) 320-9144

Annual test volume the lab reported

Waived tests
58,400

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

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Related

Questions

What is the CLIA number for Walgreens #11510 in Beavercreek?

36D2008167, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #11510 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2008167 expire?

The CMS file lists December 13, 2026 as the certificate expiration date; the certificate took effect December 14, 2024.

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