36D2002105 CLIA NUMBER - DISCOUNT DRUG MART #19

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Laboratory Demographics

CLIA Number: 36D2002105

Facility Name: DISCOUNT DRUG MART #19

Facility Address:
2253 COLORADO AVENUE
LORAIN, OH
ZIP 44052
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Facility Phone Number: 440 288-0191

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1346285350

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	36D2002105
LAB Type	Pharmacy
Facility Name	DISCOUNT DRUG MART #19
Street	2253 COLORADO AVENUE
City	LORAIN
State	OH
ZIP	44052
Phone	440 288-0191
CertificateType	4
CertificateEffectiveDate	1/7/2024
CertificateExpirationDate	1/6/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024