36D2230897 CLIA NUMBER - WALGREENS #04044

Laboratory Demographics

  • CLIA Code: 36D2230897
  • Facility Name: WALGREENS #04044
  • Facility Address: 1223 CLEVELAND AVE NW
    CANTON, OH
    ZIP 44703
  • Facility Phone: 330 453-4874
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAMMY REEVES
  • NPI Number: 1043225063
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2230897
LAB Type Pharmacy
Facility Name WALGREENS #04044
Street 1223 CLEVELAND AVE NW
City CANTON
State OH
ZIP 44703
Phone 330 453-4874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2023
Certificate Expiration Date 7/27/2025
Facility Type Pharmacy
Lab Director TAMMY REEVES

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This page was last updated on: 3/20/2025