36D1051068 CLIA NUMBER - DISCOUNT DRUG MART #4

Laboratory Demographics

  • CLIA Code: 36D1051068
  • Facility Name: DISCOUNT DRUG MART #4
  • Facility Address: 33382 WALKER ROAD
    AVON LAKE, OH
    ZIP 44012
  • Facility Phone: 440 933-2327
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID SVENSON
  • NPI Number: 1528003530
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1051068
LAB Type Pharmacy
Facility Name DISCOUNT DRUG MART #4
Street 33382 WALKER ROAD
City AVON LAKE
State OH
ZIP 44012
Phone 440 933-2327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Pharmacy
Lab Director DAVID SVENSON

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