36D2216272 CLIA NUMBER - WALGREENS #09073

Laboratory Demographics

  • CLIA Code: 36D2216272
  • Facility Name: WALGREENS #09073
  • Facility Address: 20200 VAN AKEN BLVD
    SHAKER HEIGHTS, OH
    ZIP 44122
  • Facility Phone: 216 751-4521
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON C. SALING
  • NPI Number: 1417976655
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2216272
LAB Type Pharmacy
Facility Name WALGREENS #09073
Street 20200 VAN AKEN BLVD
City SHAKER HEIGHTS
State OH
ZIP 44122
Phone 216 751-4521
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 BRANDON C. SALING

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