36D2185921 CLIA NUMBER - OHIO CVS STORES, LLC DBA CVS/PHARMACY #4572

Laboratory Demographics

  • CLIA Code: 36D2185921
  • Facility Name: OHIO CVS STORES, LLC DBA CVS/PHARMACY #4572
  • Facility Address: 641 GRAHAM ROAD
    CUYAHOGA FALLS, OH
    ZIP 44221
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD BUGAJ
  • NPI Number: 1750303558
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2185921
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC DBA CVS/PHARMACY #4572
Street 641 GRAHAM ROAD
City CUYAHOGA FALLS
State OH
ZIP 44221
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 RICHARD BUGAJ

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