CLIA lab
CLIA 36D2269545: Macke Family Practice, LLC
Sidney, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2269545 belongs to Macke Family Practice, LLC in Sidney, OH.
Certificate of Waiver, effective September 28, 2026, expires September 27, 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
- September 28, 2026
- Certificate expiration
- September 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 28, 2022
- Facility type
- Other practitioner
- 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
- 36D2269545
- Lab name
- Macke Family Practice, LLC
- Address
- 1025 Fair Road, Sidney, OH 45365
- Phone
- (937) 492-1352
- Fax
- (937) 492-1352
Annual test volume the lab reported
- Waived tests
- 300
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 Macke Family Practice, LLC in Sidney?
36D2269545, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Macke Family Practice, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2269545 expire?
The CMS file lists September 27, 2028 as the certificate expiration date; the certificate took effect September 28, 2026.