36D2013210 CLIA NUMBER - WALGREENS #05138

Laboratory Demographics

  • CLIA Code: 36D2013210
  • Facility Name: WALGREENS #05138
  • Facility Address: 100 CLEVELAND STREET
    ELYRIA, OH
    ZIP 44035
  • Facility Phone: 440 322-7604
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THERESA M. ALLIGOOD
  • NPI Number: 1144235169
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2013210
LAB Type Pharmacy
Facility Name WALGREENS #05138
Street 100 CLEVELAND STREET
City ELYRIA
State OH
ZIP 44035
Phone 440 322-7604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director THERESA M. ALLIGOOD

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