36D2183899 CLIA NUMBER - JUNGLE JIM'S PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2183899
  • Facility Name: JUNGLE JIM'S PHARMACY
  • Facility Address: 5484 DIXIE HIGHWAY
    FAIRFIELD, OH
    ZIP 45014
  • Facility Phone: 513 858-3784
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAI NGUYEN
  • NPI Number: 1346335932
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2183899
LAB Type Pharmacy
Facility Name JUNGLE JIM'S PHARMACY
Street 5484 DIXIE HIGHWAY
City FAIRFIELD
State OH
ZIP 45014
Phone 513 858-3784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Pharmacy
Lab Director HAI NGUYEN

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