36D2155805 CLIA NUMBER - FITZGERALD'S PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2155805
  • Facility Name: FITZGERALD'S PHARMACY
  • Facility Address: 305 W MAIN ST
    WILLIAMSBURG, OH
    ZIP 45176
  • Facility Phone: 513 724-7081
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHELLE M. HUFFMAN
  • NPI Number: 1427141019
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2155805
LAB Type Pharmacy
Facility Name FITZGERALD'S PHARMACY
Street 305 W MAIN ST
City WILLIAMSBURG
State OH
ZIP 45176
Phone 513 724-7081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Pharmacy
Lab Director RICHELLE M. HUFFMAN

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