36D2022541 CLIA NUMBER - WALGREENS #12014

Laboratory Demographics

  • CLIA Code: 36D2022541
  • Facility Name: WALGREENS #12014
  • Facility Address: 19980 WEST 130TH STREET
    STRONGSVILLE, OH
    ZIP 44136
  • Facility Phone: 440 572-2833
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZOE BAKER
  • NPI Number: 1093952129
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2022541
LAB Type Pharmacy
Facility Name WALGREENS #12014
Street 19980 WEST 130TH STREET
City STRONGSVILLE
State OH
ZIP 44136
Phone 440 572-2833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director ZOE BAKER

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