36D2212959 CLIA NUMBER - WALGREENS #05473

Laboratory Demographics

  • CLIA Code: 36D2212959
  • Facility Name: WALGREENS #05473
  • Facility Address: 25524 CENTER RIDGE RD
    WESTLAKE, OH
    ZIP 44145
  • Facility Phone: 440 892-0525
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW A. KOWALSKI
  • NPI Number: 1417962440
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2212959
LAB Type Pharmacy
Facility Name WALGREENS #05473
Street 25524 CENTER RIDGE RD
City WESTLAKE
State OH
ZIP 44145
Phone 440 892-0525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Pharmacy
Lab Director MATTHEW A. KOWALSKI

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