36D2196779 CLIA NUMBER - SHRIVERS WELLNESS SOLUTIONS LTD

Laboratory Demographics

  • CLIA Code: 36D2196779
  • Facility Name: SHRIVERS WELLNESS SOLUTIONS LTD
  • Facility Address: 310 WEST UNION ST, SUITE 101
    ATHENS, OH
    ZIP 45701
  • Facility Phone: 740 447-9201
  • Facility Type: Other - PHARMACIST RUN CLINIC
  • Facility Type: Waiver
  • Lab Director: BEN HOLTER
  • NPI Number: 1366947111
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2196779
LAB Type Other - PHARMACIST RUN CLINIC
Facility Name SHRIVERS WELLNESS SOLUTIONS LTD
Street 310 WEST UNION ST, SUITE 101
City ATHENS
State OH
ZIP 45701
Phone 740 447-9201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Other - PHARMACIST RUN CLINIC
Lab Director BEN HOLTER

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