36D1081675 CLIA NUMBER - ARIES PHARMACY DBA MEDICINE SHOPPE

Laboratory Demographics

  • CLIA Code: 36D1081675
  • Facility Name: ARIES PHARMACY DBA MEDICINE SHOPPE
  • Facility Address: 8200 STATE ROUTE 366
    RUSSELLS POINT, OH
    ZIP 43348
  • Facility Phone: 937 843-3700
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: JEFFREY L. HOLYCROSS
  • NPI Number: 1891807806
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1081675
LAB Type Industrial
Facility Name ARIES PHARMACY DBA MEDICINE SHOPPE
Street 8200 STATE ROUTE 366
City RUSSELLS POINT
State OH
ZIP 43348
Phone 937 843-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Industrial
Lab Director JEFFREY L. HOLYCROSS

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