36D2230907 CLIA NUMBER - WALGREENS #07719

Laboratory Demographics

  • CLIA Code: 36D2230907
  • Facility Name: WALGREENS #07719
  • Facility Address: 663 E AURORA RD
    MACEDONIA, OH
    ZIP 44056
  • Facility Phone: 330 468-4800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOEL T. SHAFFER
  • NPI Number: 1790790749
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2230907
LAB Type Pharmacy
Facility Name WALGREENS #07719
Street 663 E AURORA RD
City MACEDONIA
State OH
ZIP 44056
Phone 330 468-4800
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 JOEL T. SHAFFER

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