CLIA lab

CLIA 36D2063386: Randall Residence of Tipp City

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

CLIA number 36D2063386 belongs to Randall Residence of Tipp City in Tipp City, OH.

Certificate of Waiver, effective August 1, 2025, expires July 31, 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
August 1, 2025
Certificate expiration
July 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 1, 2013
Facility type
Assisted living facility
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
36D2063386
Lab name
Randall Residence of Tipp City
Address
6400 South CR 25A, Tipp City, OH 45371
Phone
(937) 667-8200
Fax
(937) 669-8225

Annual test volume the lab reported

Waived tests
200

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

Other labs in Tipp City, OH

Related

Questions

What is the CLIA number for Randall Residence of Tipp City in Tipp City?

36D2063386, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Randall Residence of Tipp City hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2063386 expire?

The CMS file lists July 31, 2027 as the certificate expiration date; the certificate took effect August 1, 2025.

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