36D2182673 CLIA NUMBER - SHRIVERS PHARMACY #4

Laboratory Demographics

  • CLIA Code: 36D2182673
  • Facility Name: SHRIVERS PHARMACY #4
  • Facility Address: 40 WATKINS ST
    NELSONVILLE, OH
    ZIP 45764
  • Facility Phone: 740 753-2484
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN T. ANGLE
  • NPI Number: 1790876985
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2182673
LAB Type Pharmacy
Facility Name SHRIVERS PHARMACY #4
Street 40 WATKINS ST
City NELSONVILLE
State OH
ZIP 45764
Phone 740 753-2484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Pharmacy
Lab Director MEGAN T. ANGLE

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