36D1077979 CLIA NUMBER - DISCOUNT DRUG MART #79

Laboratory Demographics

  • CLIA Code: 36D1077979
  • Facility Name: DISCOUNT DRUG MART #79
  • Facility Address: 739 CARTER DRIVE
    GALION, OH
    ZIP 44833
  • Facility Phone: 330 725-2340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID SVENSON
  • NPI Number: 1568667350
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1077979
LAB Type Pharmacy
Facility Name DISCOUNT DRUG MART #79
Street 739 CARTER DRIVE
City GALION
State OH
ZIP 44833
Phone 330 725-2340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2023
Certificate Expiration Date 12/23/2025
Facility Type Pharmacy
Lab Director DAVID SVENSON

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