36D2295680 CLIA NUMBER - ALTEV COMMUNITY PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2295680
  • Facility Name: ALTEV COMMUNITY PHARMACY
  • Facility Address: 3559 READING ROAD, SUITE 104
    CINCINNATI, OH
    ZIP 45229
  • Facility Phone: 513 776-4580
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMMANUEL O. AYANJOKE
  • NPI Number: 1801573134
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2295680
LAB Type Pharmacy
Facility Name ALTEV COMMUNITY PHARMACY
Street 3559 READING ROAD, SUITE 104
City CINCINNATI
State OH
ZIP 45229
Phone 513 776-4580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Pharmacy
Lab Director EMMANUEL O. AYANJOKE

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