36D2237629 CLIA NUMBER - WEXLER'S LAKE MILTON PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2237629
  • Facility Name: WEXLER'S LAKE MILTON PHARMACY
  • Facility Address: 17674 MAHONING AVE
    LAKE MILTON, OH
    ZIP 44429
  • Facility Phone: 330 654-3792
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXIS M. CHRYSTAL
  • NPI Number: 1942398284
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2237629
LAB Type Pharmacy
Facility Name WEXLER'S LAKE MILTON PHARMACY
Street 17674 MAHONING AVE
City LAKE MILTON
State OH
ZIP 44429
Phone 330 654-3792
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Pharmacy
Lab Director ALEXIS M. CHRYSTAL

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