36D0709053 CLIA NUMBER - COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY

Laboratory Demographics

CLIA Number: 36D0709053

Facility Name: COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY

Facility Address:
7880 LINCOLE PLACE
LISBON, OH
ZIP 44432
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Facility Phone Number: 330 424-5686

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1982163853

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	36D0709053
LAB Type	Federally Qualified Health Center
Facility Name	COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY
Street	7880 LINCOLE PLACE
City	LISBON
State	OH
ZIP	44432
Phone	330 424-5686
CertificateType	4
CertificateEffectiveDate	11/21/2022
CertificateExpirationDate	11/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024