36D2216214 CLIA NUMBER - WALGREENS #11730

Laboratory Demographics

  • CLIA Code: 36D2216214
  • Facility Name: WALGREENS #11730
  • Facility Address: 600 S MECCA ST
    CORTLAND, OH
    ZIP 44410
  • Facility Phone: 330 638-5016
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD CULBERTSON
  • NPI Number: 1659557288
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2216214
LAB Type Pharmacy
Facility Name WALGREENS #11730
Street 600 S MECCA ST
City CORTLAND
State OH
ZIP 44410
Phone 330 638-5016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Pharmacy
Lab Director RICHARD CULBERTSON

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