36D0946593 CLIA NUMBER - KAUP PHARMACY

Laboratory Demographics

  • CLIA Code: 36D0946593
  • Facility Name: KAUP PHARMACY
  • Facility Address: 102 N WAYNE STREET
    FORT RECOVERY, OH
    ZIP 45846
  • Facility Phone: 419 375-2323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAWN R. GOODWIN
  • NPI Number: 1518016021
  • Taxonomy: 3336H0001X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D0946593
LAB Type Pharmacy
Facility Name KAUP PHARMACY
Street 102 N WAYNE STREET
City FORT RECOVERY
State OH
ZIP 45846
Phone 419 375-2323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Pharmacy
Lab Director DAWN R. GOODWIN

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