36D2183441 CLIA NUMBER - MEDTIME PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 36D2183441
  • Facility Name: MEDTIME PHARMACY, LLC
  • Facility Address: 400 12TH STREET, NW
    CANTON, OH
    ZIP 44703
  • Facility Phone: 234 410-3366
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. TAMER F. IBRAHIM
  • NPI Number: 1407202914
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2183441
LAB Type Pharmacy
Facility Name MEDTIME PHARMACY, LLC
Street 400 12TH STREET, NW
City CANTON
State OH
ZIP 44703
Phone 234 410-3366
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