36D1077989 CLIA NUMBER - DISCOUNT DRUG MART #29

Laboratory Demographics

  • CLIA Code: 36D1077989
  • Facility Name: DISCOUNT DRUG MART #29
  • Facility Address: 4208 LIBERTY AVENUE
    VERMILION, OH
    ZIP 44089
  • Facility Phone: 440 967-3000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID SVENSON
  • NPI Number: 1740225663
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1077989
LAB Type Pharmacy
Facility Name DISCOUNT DRUG MART #29
Street 4208 LIBERTY AVENUE
City VERMILION
State OH
ZIP 44089
Phone 440 967-3000
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: 6/4/2025