CLIA lab
CLIA 36D2335961: Alpha Functional Wellness DPC, LLC
Versailles, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2335961 belongs to Alpha Functional Wellness DPC, LLC in Versailles, OH.
Certificate of Waiver, effective December 22, 2025, expires December 21, 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
- December 22, 2025
- Certificate expiration
- December 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 22, 2025
- Facility type
- Physician office
- 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
- 36D2335961
- Lab name
- Alpha Functional Wellness DPC, LLC
- Address
- 10484 Kley Road, Versailles, OH 45380
- Phone
- (937) 526-2230
- Fax
- (937) 526-2236
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.
Other labs in Versailles, OH
- Family Health Services of Darke CountyCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center36D2124923
- Jlkgt Investments LLC DBA Kaup PharmacyCertificate of Waiver, Pharmacy36D2098733
- Midmark Clinic -Certificate of Waiver, Physician office36D2278212
- Uvpc Stillwater Family CareCertificate for Provider-Performed Microscopy Procedures, Physician office36D0927174
- Versailles Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility36D0698222
Related
Questions
What is the CLIA number for Alpha Functional Wellness DPC, LLC in Versailles?
36D2335961, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alpha Functional Wellness DPC, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2335961 expire?
The CMS file lists December 21, 2027 as the certificate expiration date; the certificate took effect December 22, 2025.