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CLIA 36D2133265: Sam's Club Pharmacy 10-4846
Mentor, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2133265 belongs to Sam's Club Pharmacy 10-4846 in Mentor, OH.
Certificate of Waiver, effective July 10, 2025, expires July 9, 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
- July 10, 2025
- Certificate expiration
- July 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 10, 2017
- 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
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Lab and contact
- CLIA number
- 36D2133265
- Lab name
- Sam's Club Pharmacy 10-4846
- Address
- 5600 Emerald Ct, Mentor, OH 44060
- Phone
- (440) 352-7654
- Fax
- (440) 352-7672
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Sam's Club Pharmacy 10-4846 in Mentor?
36D2133265, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Club Pharmacy 10-4846 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2133265 expire?
The CMS file lists July 9, 2027 as the certificate expiration date; the certificate took effect July 10, 2025.
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Map your lab's test names to LOINC codes
Map the testsFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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