CLIA lab
CLIA 36D2012009: Fair Haven Shelby County Home
Sidney, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2012009 belongs to Fair Haven Shelby County Home in Sidney, OH.
Certificate of Waiver, effective August 26, 2026, expires August 25, 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
- August 26, 2026
- Certificate expiration
- August 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 26, 2010
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, county
- 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
- 36D2012009
- Lab name
- Fair Haven Shelby County Home
- Address
- 2901 Fair Road, Sidney, OH 45365
- Phone
- (937) 492-6900
- Fax
- (937) 492-8826
Annual test volume the lab reported
- Waived tests
- 1
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Fair Haven Shelby CountyCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Fair Haven Shelby County Home in Sidney?
36D2012009, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fair Haven Shelby County Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2012009 expire?
The CMS file lists August 25, 2028 as the certificate expiration date; the certificate took effect August 26, 2026.