36D0917110 CLIA NUMBER - TOWNE PHARMACY

Laboratory Demographics

  • CLIA Code: 36D0917110
  • Facility Name: TOWNE PHARMACY
  • Facility Address: 283 CLINE AVENUE
    MANSFIELD, OH
    ZIP 44907
  • Facility Phone: 419 756-6032
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATT R. MAIYER
  • NPI Number: 1760543268
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D0917110
LAB Type Pharmacy
Facility Name TOWNE PHARMACY
Street 283 CLINE AVENUE
City MANSFIELD
State OH
ZIP 44907
Phone 419 756-6032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Pharmacy
Lab Director MATT R. MAIYER

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