36D2154597 CLIA NUMBER - MCFADDEN PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2154597
  • Facility Name: MCFADDEN PHARMACY
  • Facility Address: 115 E MAIN ST
    BAINBRIDGE, OH
    ZIP 45612
  • Facility Phone: 740 634-3231
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASEY R. MCFADDEN
  • NPI Number: 1194735720
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2154597
LAB Type Pharmacy
Facility Name MCFADDEN PHARMACY
Street 115 E MAIN ST
City BAINBRIDGE
State OH
ZIP 45612
Phone 740 634-3231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Pharmacy
Lab Director CASEY R. MCFADDEN

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