36D2120342 CLIA NUMBER - ESSENTRA PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2120342
  • Facility Name: ESSENTRA PHARMACY
  • Facility Address: 73 SPORTSMAN'S DR SUITE B
    MARENGO, OH
    ZIP 43334
  • Facility Phone: (419) 253-0632
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS W. NEWMAN

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CLIA Record

Field Name Field Value
CLIA Number 36D2120342
LAB Type Pharmacy
Facility Name ESSENTRA PHARMACY
Street 73 SPORTSMAN'S DR SUITE B
City MARENGO
State OH
ZIP 43334
Phone 4192530632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Pharmacy
Lab Director NICHOLAS W. NEWMAN

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This page was last updated on: 5/18/2026