36D2222358 CLIA NUMBER - WALGREENS #10222

Laboratory Demographics

  • CLIA Code: 36D2222358
  • Facility Name: WALGREENS #10222
  • Facility Address: 2730 BROADWAY
    LORAIN, OH
    ZIP 44052
  • Facility Phone: 440 244-0593
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN D. KUNISCH
  • NPI Number: 1073694568
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2222358
LAB Type Pharmacy
Facility Name WALGREENS #10222
Street 2730 BROADWAY
City LORAIN
State OH
ZIP 44052
Phone 440 244-0593
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Pharmacy
Lab Director JONATHAN D. KUNISCH

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