36D2248907 CLIA NUMBER - LIFELINE PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2248907
  • Facility Name: LIFELINE PHARMACY
  • Facility Address: 7623 E MAIN ST
    REYNOLDSBURG, OH
    ZIP 43068
  • Facility Phone: 614 845-5463
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SURYA DULAL
  • NPI Number: 1699397646
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2248907
LAB Type Pharmacy
Facility Name LIFELINE PHARMACY
Street 7623 E MAIN ST
City REYNOLDSBURG
State OH
ZIP 43068
Phone 614 845-5463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Pharmacy
Lab Director SURYA DULAL

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This page was last updated on: 6/4/2025