CLIA lab

CLIA 36D2184554: South Webster Pharmacy, LLC

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

CLIA number 36D2184554 belongs to South Webster Pharmacy, LLC in South Webster, OH.

Certificate of Waiver, effective May 21, 2026, expires May 20, 2028.

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
May 21, 2026
Certificate expiration
May 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 21, 2020
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
36D2184554
Lab name
South Webster Pharmacy, LLC
Address
11016 Main Street, South Webster, OH 45682
Phone
(740) 778-3784
Fax
(740) 778-3782

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Related

Questions

What is the CLIA number for South Webster Pharmacy, LLC in South Webster?

36D2184554, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does South Webster Pharmacy, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2184554 expire?

The CMS file lists May 20, 2028 as the certificate expiration date; the certificate took effect May 21, 2026.

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