36D1087061 CLIA NUMBER - WALGREENS #04775

Laboratory Demographics

  • CLIA Code: 36D1087061
  • Facility Name: WALGREENS #04775
  • Facility Address: 9043 DARROW ROAD
    TWINSBURG, OH
    ZIP 44087
  • Facility Phone: 330 405-6268
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARKIDA OWENS
  • NPI Number: 1053326074
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1087061
LAB Type Pharmacy
Facility Name WALGREENS #04775
Street 9043 DARROW ROAD
City TWINSBURG
State OH
ZIP 44087
Phone 330 405-6268
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director ARKIDA OWENS

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