36D2205394 CLIA NUMBER - WALGREENS #04130

Laboratory Demographics

  • CLIA Code: 36D2205394
  • Facility Name: WALGREENS #04130
  • Facility Address: 3020 MAYFIELD RD
    CLEVELAND HEIGHTS, OH
    ZIP 44118
  • Facility Phone: 216 932-4759
  • Facility Type: Other - COVID-19 TESTING SITE
  • Facility Type: Waiver
  • Lab Director: GREGORY BERRY
  • NPI Number: 1942215967
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2205394
LAB Type Other - COVID-19 TESTING SITE
Facility Name WALGREENS #04130
Street 3020 MAYFIELD RD
City CLEVELAND HEIGHTS
State OH
ZIP 44118
Phone 216 932-4759
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 TESTING SITE
Lab Director GREGORY BERRY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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