36D2188332 CLIA NUMBER - GIANT EAGLE PHARMACY #1405

Laboratory Demographics

  • CLIA Code: 36D2188332
  • Facility Name: GIANT EAGLE PHARMACY #1405
  • Facility Address: 48 VIENNA AVE
    NILES, OH
    ZIP 44446
  • Facility Phone: 330 652-2168
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JOHN JUDIN
  • NPI Number: 1336154244
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2188332
LAB Type Pharmacy
Facility Name GIANT EAGLE PHARMACY #1405
Street 48 VIENNA AVE
City NILES
State OH
ZIP 44446
Phone 330 652-2168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Pharmacy
Lab Director MR. JOHN JUDIN

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