36D2012208 CLIA NUMBER - WALGREENS #04685

Laboratory Demographics

  • CLIA Code: 36D2012208
  • Facility Name: WALGREENS #04685
  • Facility Address: 2135 WARRENSVILLE CENTER ROAD
    SOUTH EUCLID, OH
    ZIP 44121
  • Facility Phone: 216 932-0937
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADDISU A. AZENE
  • NPI Number: 1740297753
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Pharmacy
Lab Director ADDISU A. AZENE

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