36D2001712 CLIA NUMBER - DISCOUNT DRUG MART #16

Laboratory Demographics

  • CLIA Code: 36D2001712
  • Facility Name: DISCOUNT DRUG MART #16
  • Facility Address: 307 WEST WALTON AVENUE
    WILLARD, OH
    ZIP 44890
  • Facility Phone: 419 935-6211
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID SVENSON
  • NPI Number: 1316983703
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2001712
LAB Type Pharmacy
Facility Name DISCOUNT DRUG MART #16
Street 307 WEST WALTON AVENUE
City WILLARD
State OH
ZIP 44890
Phone 419 935-6211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Pharmacy
Lab Director DAVID SVENSON

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