36D2182163 CLIA NUMBER - HART PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2182163
  • Facility Name: HART PHARMACY
  • Facility Address: 4861 GLENWAY AVENUE
    CINCINNATI, OH
    ZIP 45238
  • Facility Phone: 513 471-1605
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIMI E. HART
  • NPI Number: 1053467621
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2182163
LAB Type Pharmacy
Facility Name HART PHARMACY
Street 4861 GLENWAY AVENUE
City CINCINNATI
State OH
ZIP 45238
Phone 513 471-1605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Pharmacy
Lab Director MIMI E. HART

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