36D2185916 CLIA NUMBER - OHIO CVS STORES, LLC DBA CVS/PHARMACY #3377

Laboratory Demographics

  • CLIA Code: 36D2185916
  • Facility Name: OHIO CVS STORES, LLC DBA CVS/PHARMACY #3377
  • Facility Address: 1112 PEARL ROAD
    BRUNSWICK, OH
    ZIP 44212
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACKLYN KORNOKOVICH
  • NPI Number: 1649373374
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2185916
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC DBA CVS/PHARMACY #3377
Street 1112 PEARL ROAD
City BRUNSWICK
State OH
ZIP 44212
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Pharmacy
Lab Director JACKLYN KORNOKOVICH

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