36D2157917 CLIA NUMBER - AMC OHIO LLC DBA EQUITAS HEALTH PHARMACY

Laboratory Demographics

CLIA Number: 36D2157917

Facility Name: AMC OHIO LLC DBA EQUITAS HEALTH PHARMACY

Facility Address:
1033 N HIGH STREET
COLUMBUS, OH
ZIP 43201
Get Directions

Facility Phone Number: 614 987-5621

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1639507106

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	36D2157917
LAB Type	Pharmacy
Facility Name	AMC OHIO LLC DBA EQUITAS HEALTH PHARMACY
Street	1033 N HIGH STREET
City	COLUMBUS
State	OH
ZIP	43201
Phone	614 987-5621
CertificateType	4
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024