36D2012208 CLIA NUMBER - WALGREENS #04685

Home > CLIA Lookup > 36D2012208

Laboratory Demographics

CLIA Number: 36D2012208

Facility Name: WALGREENS #04685

Facility Address:
2135 WARRENSVILLE CENTER ROAD
SOUTH EUCLID, OH
ZIP 44121
Get Directions

Facility Phone Number: 216 932-0937

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1740297753

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	36D2012208
LAB Type	Pharmacy
Facility Name	WALGREENS #04685
Street	2135 WARRENSVILLE CENTER ROAD
City	SOUTH EUCLID
State	OH
ZIP	44121
Phone	216 932-0937
CertificateType	4
CertificateEffectiveDate	7/27/2023
CertificateExpirationDate	7/26/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024