36D2019931 CLIA NUMBER - WALGREENS #12634

Laboratory Demographics

  • CLIA Code: 36D2019931
  • Facility Name: WALGREENS #12634
  • Facility Address: 1415 ROCKSIDE RD
    PARMA, OH
    ZIP 44134
  • Facility Phone: 216 325-5192
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN M. HROVAT
  • NPI Number: 1295048288
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2019931
LAB Type Pharmacy
Facility Name WALGREENS #12634
Street 1415 ROCKSIDE RD
City PARMA
State OH
ZIP 44134
Phone 216 325-5192
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 JOHN M. HROVAT

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