36D2121945 CLIA NUMBER - SHELBY HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 36D2121945
  • Facility Name: SHELBY HEALTH AND WELLNESS
  • Facility Address: 31 E MAIN STREET
    SHELBY, OH
    ZIP 44875
  • Facility Phone: 419 525-6732
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SHENG LIU
  • NPI Number: 1811364706
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2121945
LAB Type Federally Qualified Health Center
Facility Name SHELBY HEALTH AND WELLNESS
Street 31 E MAIN STREET
City SHELBY
State OH
ZIP 44875
Phone 419 525-6732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Federally Qualified Health Center
Lab Director SHENG LIU

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This page was last updated on: 9/29/2025