CLIA lab

CLIA 36D2090126: Andover Primary Care

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

CLIA number 36D2090126 belongs to Andover Primary Care in Andover, OH.

Certificate of Waiver, effective January 15, 2025, expires January 14, 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
January 15, 2025
Certificate expiration
January 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 15, 2015
Facility type
Federally qualified health center
Ownership (control type)
Other
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
36D2090126
Lab name
Andover Primary Care
Address
5594 State Route 7, Andover, OH 44003
Phone
(440) 293-2444
Fax
(440) 293-2445

Annual test volume the lab reported

Waived tests
1,500

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

Other labs in Andover, OH

Related

Questions

What is the CLIA number for Andover Primary Care in Andover?

36D2090126, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Andover Primary Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2090126 expire?

The CMS file lists January 14, 2027 as the certificate expiration date; the certificate took effect January 15, 2025.

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