36D1051343 CLIA NUMBER - CONWAY'S EASTSIDE PHARMACY

Laboratory Demographics

  • CLIA Code: 36D1051343
  • Facility Name: CONWAY'S EASTSIDE PHARMACY
  • Facility Address: 1451 YAUGER ROAD SUITE 1H
    MOUNT VERNON, OH
    ZIP 43050
  • Facility Phone: 740 397-1420
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DENISE L. CONWAY
  • NPI Number: 1629639281
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1051343
LAB Type Pharmacy
Facility Name CONWAY'S EASTSIDE PHARMACY
Street 1451 YAUGER ROAD SUITE 1H
City MOUNT VERNON
State OH
ZIP 43050
Phone 740 397-1420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Pharmacy
Lab Director DENISE L. CONWAY

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