36D2299524 CLIA NUMBER - DISCOUNT DRUG MART #95

Laboratory Demographics

  • CLIA Code: 36D2299524
  • Facility Name: DISCOUNT DRUG MART #95
  • Facility Address: 6115 STATE RD
    PARMA, OH
    ZIP 44134
  • Facility Phone: 440 253-0790
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID C. SVENSON
  • NPI Number: 1194501734
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2299524
LAB Type Pharmacy
Facility Name DISCOUNT DRUG MART #95
Street 6115 STATE RD
City PARMA
State OH
ZIP 44134
Phone 440 253-0790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Pharmacy
Lab Director DAVID C. SVENSON

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