36D2012688 CLIA NUMBER - WALGREENS #03310

Laboratory Demographics

  • CLIA Code: 36D2012688
  • Facility Name: WALGREENS #03310
  • Facility Address: 16803 LORAIN AVENUE
    CLEVELAND, OH
    ZIP 44111
  • Facility Phone: 216 252-3102
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAUN TRAINE
  • NPI Number: 1316952328
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2012688
LAB Type Pharmacy
Facility Name WALGREENS #03310
Street 16803 LORAIN AVENUE
City CLEVELAND
State OH
ZIP 44111
Phone 216 252-3102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director SHAUN TRAINE

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