36D2188338 CLIA NUMBER - GIANT EAGLE PHARMACY #0230

Laboratory Demographics

  • CLIA Code: 36D2188338
  • Facility Name: GIANT EAGLE PHARMACY #0230
  • Facility Address: 3050 W 117TH ST
    CLEVELAND, OH
    ZIP 44111
  • Facility Phone: 216 941-5109
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ANGELA WALTER
  • NPI Number: 1962417873
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2188338
LAB Type Pharmacy
Facility Name GIANT EAGLE PHARMACY #0230
Street 3050 W 117TH ST
City CLEVELAND
State OH
ZIP 44111
Phone 216 941-5109
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. ANGELA WALTER

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