36D2025842 CLIA NUMBER - WALGREENS #12445

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Laboratory Demographics

CLIA Number: 36D2025842

Facility Name: WALGREENS #12445

Facility Address:
24590 LORAIN ROAD
NORTH OLMSTED, OH
ZIP 44070
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Facility Phone Number: 440 716-0437

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1700023363

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	36D2025842
LAB Type	Pharmacy
Facility Name	WALGREENS #12445
Street	24590 LORAIN ROAD
City	NORTH OLMSTED
State	OH
ZIP	44070
Phone	440 716-0437
CertificateType	4
CertificateEffectiveDate	7/29/2023
CertificateExpirationDate	7/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024