36D2188313 CLIA NUMBER - GIANT EAGLE PHARMACY #4088

Laboratory Demographics

  • CLIA Code: 36D2188313
  • Facility Name: GIANT EAGLE PHARMACY #4088
  • Facility Address: 4343 ROYALTON RD
    BROADVIEW HEIGHTS, OH
    ZIP 44147
  • Facility Phone: 440 526-1584
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. NICOLETTE BONAMASE
  • NPI Number: 1528332822
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2188313
LAB Type Pharmacy
Facility Name GIANT EAGLE PHARMACY #4088
Street 4343 ROYALTON RD
City BROADVIEW HEIGHTS
State OH
ZIP 44147
Phone 440 526-1584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Pharmacy
Lab Director DR. NICOLETTE BONAMASE

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