CLIA lab
CLIA 36D2133268: Sam's Club Pharmacy 10-4962
Sandusky, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2133268 belongs to Sam's Club Pharmacy 10-4962 in Sandusky, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
Lab and contact
- CLIA number
- 36D2133268
- Lab name
- Sam's Club Pharmacy 10-4962
- Address
- 614 Crossings Rd, Sandusky, OH 44870
- Phone
- (419) 626-1820
- Fax
- (419) 626-2981
Annual test volume the lab reported
- Waived tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sandusky, OH
- Brightview, LLC SanduskyCertificate of Waiver, Physician office36D2230139
- Buderer Drug CoCertificate of Waiver, Pharmacy36D2210268
- Cambridge Home Health Care, Inc DBACertificate of Waiver, Home health agency36D1078796
- Cedar Point Amusement Park Safety DivisionCertificate of Waiver, Industrial36D2043632
- Cleveland Clinic Sandusky Cancer CenterCertificate of Accreditation, Other36D0344288
- Concord Care & Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility36D0712334
- DR Darrin R Bunting DOCertificate for Provider-Performed Microscopy Procedures, Physician office36D0932091
- Dermatologists of Southwest OhioCertificate of Compliance, Physician office36D0954489
- Discount Drug Mart #14Certificate of Waiver, Pharmacy36D1051116
- Erie County General Health DistrictCertificate for Provider-Performed Microscopy Procedures, Community clinic36D0677266
Related
Questions
What is the CLIA number for Sam's Club Pharmacy 10-4962 in Sandusky?
36D2133268, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Club Pharmacy 10-4962 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2133268 expire?
The CMS file lists July 9, 2027 as the certificate expiration date; the certificate took effect July 10, 2025.