36D2188342 CLIA NUMBER - GIANT EAGLE PHARMACY #6378

Laboratory Demographics

  • CLIA Code: 36D2188342
  • Facility Name: GIANT EAGLE PHARMACY #6378
  • Facility Address: 1955 EAST MAPLE STREET
    NORTH CANTON, OH
    ZIP 44720
  • Facility Phone: 330 497-0963
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JEFF FORD
  • NPI Number: 1164437075
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2188342
LAB Type Pharmacy
Facility Name GIANT EAGLE PHARMACY #6378
Street 1955 EAST MAPLE STREET
City NORTH CANTON
State OH
ZIP 44720
Phone 330 497-0963
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. JEFF FORD

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