36D2148221 CLIA NUMBER - SHRIVERS PHARMACY AND WELLNESS

Laboratory Demographics

  • CLIA Code: 36D2148221
  • Facility Name: SHRIVERS PHARMACY AND WELLNESS
  • Facility Address: 310 WEST UNION STREET SUITE 101
    ATHENS, OH
    ZIP 45701
  • Facility Phone: 740 447-9201
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BEN A. HOLTER
  • NPI Number: 1760093215
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2148221
LAB Type Pharmacy
Facility Name SHRIVERS PHARMACY AND WELLNESS
Street 310 WEST UNION STREET SUITE 101
City ATHENS
State OH
ZIP 45701
Phone 740 447-9201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Pharmacy
Lab Director BEN A. HOLTER

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