CLIA lab

CLIA 36D2195839: Medicine Shoppe #1202, the

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

CLIA number 36D2195839 belongs to Medicine Shoppe #1202, the in Urbana, OH.

Certificate of Waiver, effective October 13, 2024, expiration date October 12, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
October 13, 2024
Certificate expiration
October 12, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 13, 2020
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
36D2195839
Lab name
Medicine Shoppe #1202, the
Address
821 Scioto St, Urbana, OH 43078
Phone
(937) 653-3914
Fax
(937) 853-5894

Annual test volume the lab reported

Waived tests
200

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 Medicine Shoppe #1202, the in Urbana?

36D2195839, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Medicine Shoppe #1202, the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2195839 expire?

The CMS file lists October 12, 2026 as the certificate expiration date; the certificate took effect October 13, 2024.

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