CLIA lab
CLIA 36D2121415: Jackson Pharmacy & Wellness Center
Jackson Center, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2121415 belongs to Jackson Pharmacy & Wellness Center in Jackson Center, OH.
Certificate of Waiver, effective November 4, 2024, expires November 3, 2026.
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
- November 4, 2024
- Certificate expiration
- November 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 4, 2016
- 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
- 36D2121415
- Lab name
- Jackson Pharmacy & Wellness Center
- Address
- 101B E Pike Street, Jackson Center, OH 45334
- Phone
- (937) 596-8100
- Fax
- (937) 596-8108
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jackson Center, OH
- Employee Direct Care, Wilson HealthCertificate for Provider-Performed Microscopy Procedures, Physician office36D2292362
- Mary Rutan Jackson CenterCertificate of Waiver, Hospital36D0936498
- Plastipak Packaging, Inc -Certificate of Waiver, Physician office36D2278216
- Wilson Care LLCCertificate for Provider-Performed Microscopy Procedures, Physician office36D0890471
Related
Questions
What is the CLIA number for Jackson Pharmacy & Wellness Center in Jackson Center?
36D2121415, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jackson Pharmacy & Wellness Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2121415 expire?
The CMS file lists November 3, 2026 as the certificate expiration date; the certificate took effect November 4, 2024.