CLIA lab
CLIA 36D2140045: Sam's Club Pharmacy 10-8136
Washington Township, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2140045 belongs to Sam's Club Pharmacy 10-8136 in Washington Township, OH.
Certificate of Waiver, effective November 14, 2025, expires November 13, 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
- November 14, 2025
- Certificate expiration
- November 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 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
- 36D2140045
- Lab name
- Sam's Club Pharmacy 10-8136
- Address
- 1111 Miamisburg Centerville Rd, Washington Township, OH 45459
- Phone
- (937) 291-0197
- Fax
- (937) 291-0262
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.
Other labs in Washington Township, OH
Related
Questions
What is the CLIA number for Sam's Club Pharmacy 10-8136 in Washington Township?
36D2140045, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Club Pharmacy 10-8136 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2140045 expire?
The CMS file lists November 13, 2027 as the certificate expiration date; the certificate took effect November 14, 2025.