36D2230755 CLIA NUMBER - WALGREENS #06659

Laboratory Demographics

  • CLIA Code: 36D2230755
  • Facility Name: WALGREENS #06659
  • Facility Address: 4071 LEE RD
    CLEVELAND, OH
    ZIP 44128
  • Facility Phone: 216 561-1318
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LATICIA D. JOLLY
  • NPI Number: 1518972546
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2230755
LAB Type Pharmacy
Facility Name WALGREENS #06659
Street 4071 LEE RD
City CLEVELAND
State OH
ZIP 44128
Phone 216 561-1318
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Pharmacy
Lab Director LATICIA D. JOLLY

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