36D2220497 CLIA NUMBER - WALGREENS #01234

Laboratory Demographics

  • CLIA Code: 36D2220497
  • Facility Name: WALGREENS #01234
  • Facility Address: 6 E BAGLEY RD
    BEREA, OH
    ZIP 44017
  • Facility Phone: 440 891-9422
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON K. PAVKOV
  • NPI Number: 1417962465
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2220497
LAB Type Pharmacy
Facility Name WALGREENS #01234
Street 6 E BAGLEY RD
City BEREA
State OH
ZIP 44017
Phone 440 891-9422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director ALLISON K. PAVKOV

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