36D0960793 CLIA NUMBER - MINERVA PHARMACY INC

Laboratory Demographics

  • CLIA Code: 36D0960793
  • Facility Name: MINERVA PHARMACY INC
  • Facility Address: 251 EAST STREET
    MINERVA, OH
    ZIP 44657
  • Facility Phone: 330 868-6200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL WHITE
  • NPI Number: 1295826741
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D0960793
LAB Type Pharmacy
Facility Name MINERVA PHARMACY INC
Street 251 EAST STREET
City MINERVA
State OH
ZIP 44657
Phone 330 868-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Pharmacy
Lab Director PAUL WHITE

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