36D2188336 CLIA NUMBER - GIANT EAGLE PHARMACY #1297

Laboratory Demographics

  • CLIA Code: 36D2188336
  • Facility Name: GIANT EAGLE PHARMACY #1297
  • Facility Address: 22160 CENTER RIDGE ROAD
    ROCKY RIVER, OH
    ZIP 44116
  • Facility Phone: 440 356-3287
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. FARAH HEJAZIN
  • NPI Number: 1053326967
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2188336
LAB Type Pharmacy
Facility Name GIANT EAGLE PHARMACY #1297
Street 22160 CENTER RIDGE ROAD
City ROCKY RIVER
State OH
ZIP 44116
Phone 440 356-3287
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. FARAH HEJAZIN

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