36D2184477 CLIA NUMBER - GENESIS NEW CONCORD PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2184477
  • Facility Name: GENESIS NEW CONCORD PHARMACY
  • Facility Address: 10 E MAIN STREET
    NEW CONCORD, OH
    ZIP 43762
  • Facility Phone: 740 826-4000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY SNYDER
  • NPI Number: 1275961864
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2184477
LAB Type Pharmacy
Facility Name GENESIS NEW CONCORD PHARMACY
Street 10 E MAIN STREET
City NEW CONCORD
State OH
ZIP 43762
Phone 740 826-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Pharmacy
Lab Director MARY SNYDER

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