36D2188161 CLIA NUMBER - FITZGERALD'S PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2188161
  • Facility Name: FITZGERALD'S PHARMACY
  • Facility Address: 17860-A ST RT 247
    SEAMAN, OH
    ZIP 45679
  • Facility Phone: 937 386-0701
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. BRANDON E. REID
  • NPI Number: 1205929882
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2188161
LAB Type Pharmacy
Facility Name FITZGERALD'S PHARMACY
Street 17860-A ST RT 247
City SEAMAN
State OH
ZIP 45679
Phone 937 386-0701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Pharmacy
Lab Director MR. BRANDON E. REID

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