36D2188335 CLIA NUMBER - GIANT EAGLE PHARMACY #5863

Laboratory Demographics

  • CLIA Code: 36D2188335
  • Facility Name: GIANT EAGLE PHARMACY #5863
  • Facility Address: 1280 STATE ROUTE 303
    STREETSBORO, OH
    ZIP 44241
  • Facility Phone: 330 626-2407
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. FRANK DAVIS
  • NPI Number: 1164566261
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2188335
LAB Type Pharmacy
Facility Name GIANT EAGLE PHARMACY #5863
Street 1280 STATE ROUTE 303
City STREETSBORO
State OH
ZIP 44241
Phone 330 626-2407
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 DR. FRANK DAVIS

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