36D2230891 CLIA NUMBER - WALGREENS #04159

Laboratory Demographics

  • CLIA Code: 36D2230891
  • Facility Name: WALGREENS #04159
  • Facility Address: 6300 PEARL RD
    PARMA HEIGHTS, OH
    ZIP 44130
  • Facility Phone: 440 886-0775
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT E. KENNEDY
  • NPI Number: 1245247253
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2230891
LAB Type Pharmacy
Facility Name WALGREENS #04159
Street 6300 PEARL RD
City PARMA HEIGHTS
State OH
ZIP 44130
Phone 440 886-0775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director ROBERT E. KENNEDY

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