CLIA lab
CLIA 36D2012122: Walgreens #04520
Miamisburg, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2012122 belongs to Walgreens #04520 in Miamisburg, OH.
Certificate of Waiver, effective May 14, 2025, expires May 13, 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
- May 14, 2025
- Certificate expiration
- May 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 30, 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
- 36D2012122
- Lab name
- Walgreens #04520
- Address
- 1260 East Central Avenue, Miamisburg, OH 45342
- Phone
- (937) 859-3879
- Fax
- (937) 859-4013
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.
Other labs in Miamisburg, OH
- Advent - MiamisburgCertificate of Waiver, Physician office36D2316629
- CG Medical Associates, IncCertificate of Waiver, Physician office36D2285035
- Compunet Clinical LabCertificate of Accreditation, Hospital36D2153663
- Cornerstone Pediatrics LLCCertificate of Waiver, Physician office36D1007721
- DCH Cornerstone PediatricsCertificate of Waiver, Physician office36D2313689
- Dayton Gastroenterology, LLCCertificate of Waiver, Physician office36D0691675
- First Priority Urgent CareCertificate of Waiver, Other36D2328288
- Hope Care Team, LLCCertificate of Waiver, Home health agency36D2129130
- Hope Home Care LLCCertificate of Waiver, Home health agency36D2040966
- KHN Miamisburg Cardiopulmonary Dept LabCertificate of Accreditation, Hospital36D0668113
Related
Questions
What is the CLIA number for Walgreens #04520 in Miamisburg?
36D2012122, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #04520 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2012122 expire?
The CMS file lists May 13, 2027 as the certificate expiration date; the certificate took effect May 14, 2025.