36D2312230 CLIA NUMBER - DISCOUNT DRUG MART #100

Laboratory Demographics

  • CLIA Code: 36D2312230
  • Facility Name: DISCOUNT DRUG MART #100
  • Facility Address: 14450 SOUTH AVENUE
    COLUMBIANA, OH
    ZIP 44408
  • Facility Phone: 234 759-5600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARA LEWIS
  • NPI Number: 1699503599
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2312230
LAB Type Pharmacy
Facility Name DISCOUNT DRUG MART #100
Street 14450 SOUTH AVENUE
City COLUMBIANA
State OH
ZIP 44408
Phone 234 759-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Pharmacy
Lab Director SARA LEWIS

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