36D2183111 CLIA NUMBER - KRATZER'S HOMETOWN PHARMACY LYNCHBURG

Laboratory Demographics

CLIA Number: 36D2183111

Facility Name: KRATZER'S HOMETOWN PHARMACY LYNCHBURG

Facility Address:
211 SOUTH MAIN ST
LYNCHBURG, OH
ZIP 45142
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Facility Phone Number: 937 579-0212

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508611005

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	36D2183111
LAB Type	Pharmacy
Facility Name	KRATZER'S HOMETOWN PHARMACY LYNCHBURG
Street	211 SOUTH MAIN ST
City	LYNCHBURG
State	OH
ZIP	45142
Phone	937 579-0212
CertificateType	4
CertificateEffectiveDate	4/30/2022
CertificateExpirationDate	4/29/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024