36D1099688 CLIA NUMBER - DISCOUNT DRUG MART #57

Laboratory Demographics

  • CLIA Code: 36D1099688
  • Facility Name: DISCOUNT DRUG MART #57
  • Facility Address: 4441 S R 725
    BELLBROOK, OH
    ZIP 45305
  • Facility Phone: 937 848-3700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID SVENSON
  • NPI Number: 1245266592
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1099688
LAB Type Pharmacy
Facility Name DISCOUNT DRUG MART #57
Street 4441 S R 725
City BELLBROOK
State OH
ZIP 45305
Phone 937 848-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Pharmacy
Lab Director DAVID SVENSON

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