36D2205236 CLIA NUMBER - WALGREENS #21316

Laboratory Demographics

  • CLIA Code: 36D2205236
  • Facility Name: WALGREENS #21316
  • Facility Address: 6401 BROADWAY AVE
    CLEVELAND, OH
    ZIP 44105
  • Facility Phone: 216 883-0183
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: PAUL WHITAKER
  • NPI Number: 1225043235
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2205236
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #21316
Street 6401 BROADWAY AVE
City CLEVELAND
State OH
ZIP 44105
Phone 216 883-0183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director PAUL WHITAKER

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