36D2012136 CLIA NUMBER - WALGREENS #03572

Laboratory Demographics

  • CLIA Code: 36D2012136
  • Facility Name: WALGREENS #03572
  • Facility Address: 2645 STATE ROAD
    CUYAHOGA FALLS, OH
    ZIP 44223
  • Facility Phone: 330 928-5444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LENA J. FAJARDO
  • NPI Number: 1598770513
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2012136
LAB Type Pharmacy
Facility Name WALGREENS #03572
Street 2645 STATE ROAD
City CUYAHOGA FALLS
State OH
ZIP 44223
Phone 330 928-5444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director LENA J. FAJARDO

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