36D0941264 CLIA NUMBER - HOCKS VANDALIA PHARMACY

Laboratory Demographics

  • CLIA Code: 36D0941264
  • Facility Name: HOCKS VANDALIA PHARMACY
  • Facility Address: 535 SOUTH DIXIE STREET
    VANDALIA, OH
    ZIP 45377
  • Facility Phone: 937 898-5803
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY R. BARTONE
  • NPI Number: 1932232295
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D0941264
LAB Type Pharmacy
Facility Name HOCKS VANDALIA PHARMACY
Street 535 SOUTH DIXIE STREET
City VANDALIA
State OH
ZIP 45377
Phone 937 898-5803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Pharmacy
Lab Director JEFFREY R. BARTONE

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