36D2220825 CLIA NUMBER - WALGREENS #01337

Laboratory Demographics

  • CLIA Code: 36D2220825
  • Facility Name: WALGREENS #01337
  • Facility Address: 6421 MARKET AVE N
    CANTON, OH
    ZIP 44721
  • Facility Phone: 330 244-1435
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENNER KENDRICK
  • NPI Number: 1508871567
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2220825
LAB Type Pharmacy
Facility Name WALGREENS #01337
Street 6421 MARKET AVE N
City CANTON
State OH
ZIP 44721
Phone 330 244-1435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Pharmacy
Lab Director BENNER KENDRICK

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