36D2154688 CLIA NUMBER - BROSSART PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2154688
  • Facility Name: BROSSART PHARMACY
  • Facility Address: 45 S MIAMI AVE
    CLEVES, OH
    ZIP 45002
  • Facility Phone: 513 941-0428
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN BROSSART
  • NPI Number: 1326089186
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2154688
LAB Type Pharmacy
Facility Name BROSSART PHARMACY
Street 45 S MIAMI AVE
City CLEVES
State OH
ZIP 45002
Phone 513 941-0428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Pharmacy
Lab Director JOHN BROSSART

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