36D2216858 CLIA NUMBER - WALGREENS #10220

Laboratory Demographics

  • CLIA Code: 36D2216858
  • Facility Name: WALGREENS #10220
  • Facility Address: 520 BROADWAY AVE
    BEDFORD, OH
    ZIP 44146
  • Facility Phone: 440 232-6500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL R. WHITAKER
  • NPI Number: 1033490099
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2216858
LAB Type Pharmacy
Facility Name WALGREENS #10220
Street 520 BROADWAY AVE
City BEDFORD
State OH
ZIP 44146
Phone 440 232-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Pharmacy
Lab Director PAUL R. WHITAKER

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This page was last updated on: 6/4/2025