36D2184518 CLIA NUMBER - GENESIS SOMERSET PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2184518
  • Facility Name: GENESIS SOMERSET PHARMACY
  • Facility Address: 110 WEST MAIN STREET
    SOMERSET, OH
    ZIP 43783
  • Facility Phone: 740 743-2185
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN ELLARS
  • NPI Number: 1144267972
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2184518
LAB Type Pharmacy
Facility Name GENESIS SOMERSET PHARMACY
Street 110 WEST MAIN STREET
City SOMERSET
State OH
ZIP 43783
Phone 740 743-2185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Pharmacy
Lab Director JUSTIN ELLARS

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