36D2002105 CLIA NUMBER - DISCOUNT DRUG MART #19

Laboratory Demographics

  • CLIA Code: 36D2002105
  • Facility Name: DISCOUNT DRUG MART #19
  • Facility Address: 2253 COLORADO AVENUE
    LORAIN, OH
    ZIP 44052
  • Facility Phone: 440 288-0191
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID SVENSON
  • NPI Number: 1346285350
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Pharmacy
Lab Director DAVID SVENSON

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