CLIA lab
CLIA 36D2011769: Walgreens #04101
Canton, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2011769 belongs to Walgreens #04101 in Canton, OH.
Certificate of Waiver, effective April 20, 2025, expires April 19, 2027.
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 20, 2025
- Certificate expiration
- April 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 23, 2010
- Facility type
- Pharmacy
- 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
- 36D2011769
- Lab name
- Walgreens #04101
- Address
- 5122 Tuscarawas Street West, Canton, OH 44708
- Phone
- (330) 478-3976
- Fax
- (330) 478-4863
Annual test volume the lab reported
- Waived tests
- 12,775
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 #04101 in Canton?
36D2011769, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #04101 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2011769 expire?
The CMS file lists April 19, 2027 as the certificate expiration date; the certificate took effect April 20, 2025.