36D1017849 CLIA NUMBER - DAVE'S PHARMACY

Laboratory Demographics

  • CLIA Code: 36D1017849
  • Facility Name: DAVE'S PHARMACY
  • Facility Address: 411 W 5TH STREET
    MARYSVILLE, OH
    ZIP 43040
  • Facility Phone: 937 644-1322
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA A. STONEROCK
  • NPI Number: 1104981521
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1017849
LAB Type Pharmacy
Facility Name DAVE'S PHARMACY
Street 411 W 5TH STREET
City MARYSVILLE
State OH
ZIP 43040
Phone 937 644-1322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Pharmacy
Lab Director LAURA A. STONEROCK

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