36D2183096 CLIA NUMBER - WEST JEFFERSON DRUGGIST LLC

Laboratory Demographics

  • CLIA Code: 36D2183096
  • Facility Name: WEST JEFFERSON DRUGGIST LLC
  • Facility Address: 487 WEST MAIN STREET SUITE E
    WEST JEFFERSON, OH
    ZIP 43162
  • Facility Phone: 614 879-8500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL W. WESTERVELT
  • NPI Number: 1649638826
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2183096
LAB Type Pharmacy
Facility Name WEST JEFFERSON DRUGGIST LLC
Street 487 WEST MAIN STREET SUITE E
City WEST JEFFERSON
State OH
ZIP 43162
Phone 614 879-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Pharmacy
Lab Director PAUL W. WESTERVELT

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