36D2185930 CLIA NUMBER - OHIO CVS STORES, LLC DBA CVS/PHARMACY #11155

Laboratory Demographics

  • CLIA Code: 36D2185930
  • Facility Name: OHIO CVS STORES, LLC DBA CVS/PHARMACY #11155
  • Facility Address: 2104 S BYRNE ROAD
    TOLEDO, OH
    ZIP 43614
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIKAYLA FISHER
  • NPI Number: 1922524859
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2185930
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC DBA CVS/PHARMACY #11155
Street 2104 S BYRNE ROAD
City TOLEDO
State OH
ZIP 43614
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 MIKAYLA FISHER

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