36D2205625 CLIA NUMBER - WALGREENS #03308

Laboratory Demographics

  • CLIA Code: 36D2205625
  • Facility Name: WALGREENS #03308
  • Facility Address: 4265 STATE RD
    CLEVELAND, OH
    ZIP 44109
  • Facility Phone: 216 739-9659
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: ERIN DONEGAN
  • NPI Number: 1326055328
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2205625
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #03308
Street 4265 STATE RD
City CLEVELAND
State OH
ZIP 44109
Phone 216 739-9659
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director ERIN DONEGAN

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