36D2184554 CLIA NUMBER - SOUTH WEBSTER PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 36D2184554
  • Facility Name: SOUTH WEBSTER PHARMACY, LLC
  • Facility Address: 11016 MAIN STREET
    SOUTH WEBSTER, OH
    ZIP 45682
  • Facility Phone: 740 778-3784
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. STURGILL
  • NPI Number: 1679905616
  • Taxonomy: 341600000X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2184554
LAB Type Pharmacy
Facility Name SOUTH WEBSTER PHARMACY, LLC
Street 11016 MAIN STREET
City SOUTH WEBSTER
State OH
ZIP 45682
Phone 740 778-3784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Pharmacy
Lab Director MICHAEL S. STURGILL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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