36D2012677 CLIA NUMBER - WALGREENS #05206

Laboratory Demographics

  • CLIA Code: 36D2012677
  • Facility Name: WALGREENS #05206
  • Facility Address: 11701 DETROIT AVENUE
    LAKEWOOD, OH
    ZIP 44107
  • Facility Phone: 216 227-0819
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHERRY K. ABADIR
  • NPI Number: 1144235177
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2012677
LAB Type Pharmacy
Facility Name WALGREENS #05206
Street 11701 DETROIT AVENUE
City LAKEWOOD
State OH
ZIP 44107
Phone 216 227-0819
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director SHERRY K. ABADIR

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