36D2159183 CLIA NUMBER - CEDARVILLE UNIVERSITY SCHOOL OF PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2159183
  • Facility Name: CEDARVILLE UNIVERSITY SCHOOL OF PHARMACY
  • Facility Address: 251 N MAIN STREET
    CEDARVILLE, OH
    ZIP 45314
  • Facility Phone: (937) 766-7486
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JEFF HUSTON
  • NPI Number: 1174680318
  • Taxonomy: 261QS1000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2159183
LAB Type Mobile Laboratory
Facility Name CEDARVILLE UNIVERSITY SCHOOL OF PHARMACY
Street 251 N MAIN STREET
City CEDARVILLE
State OH
ZIP 45314
Phone 9377667486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Mobile Laboratory
Lab Director JEFF HUSTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026