36D0916354 CLIA NUMBER - UPTOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 36D0916354
  • Facility Name: UPTOWN PHARMACY
  • Facility Address: 23 N STATE STREET
    WESTERVILLE, OH
    ZIP 43081
  • Facility Phone: (614) 882-2392
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAX J. PEOPLES JR
  • NPI Number: 1639586498
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0916354
LAB Type Pharmacy
Facility Name UPTOWN PHARMACY
Street 23 N STATE STREET
City WESTERVILLE
State OH
ZIP 43081
Phone 6148822392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Pharmacy
Lab Director MAX J. PEOPLES JR

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This page was last updated on: 5/18/2026