36D2226850 CLIA NUMBER - WALGREENS #11558

Laboratory Demographics

  • CLIA Code: 36D2226850
  • Facility Name: WALGREENS #11558
  • Facility Address: 5644 MAYFIELD RD
    LYNDHURST, OH
    ZIP 44124
  • Facility Phone: 440 646-2314
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN W. SCHUETTE
  • NPI Number: 1194980714
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2226850
LAB Type Pharmacy
Facility Name WALGREENS #11558
Street 5644 MAYFIELD RD
City LYNDHURST
State OH
ZIP 44124
Phone 440 646-2314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director JOHN W. SCHUETTE

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