36D2169672 CLIA NUMBER - POWELL PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2169672
  • Facility Name: POWELL PHARMACY
  • Facility Address: 4004 PRESIDENTIAL PARKWAY
    POWELL, OH
    ZIP 43065
  • Facility Phone: 614 636-4499
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMLAH TUBUO
  • NPI Number: 1265998025
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2169672
LAB Type Pharmacy
Facility Name POWELL PHARMACY
Street 4004 PRESIDENTIAL PARKWAY
City POWELL
State OH
ZIP 43065
Phone 614 636-4499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Pharmacy
Lab Director EMLAH TUBUO

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: 9/29/2025