36D2183436 CLIA NUMBER - MEDICINE SHOPPE 1018, LLC

Laboratory Demographics

  • CLIA Code: 36D2183436
  • Facility Name: MEDICINE SHOPPE 1018, LLC
  • Facility Address: 900 E MAIN STREET
    LANCASTER, OH
    ZIP 43130
  • Facility Phone: 740 653-7779
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. TAMER F. IBRAHIM
  • NPI Number: 1871651828
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2183436
LAB Type Pharmacy
Facility Name MEDICINE SHOPPE 1018, LLC
Street 900 E MAIN STREET
City LANCASTER
State OH
ZIP 43130
Phone 740 653-7779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Pharmacy
Lab Director MR. TAMER F. IBRAHIM

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