36D2255630 CLIA NUMBER - OHIO CVS STORES, LLC DBA CVS/PHARMACY #04445

Laboratory Demographics

  • CLIA Code: 36D2255630
  • Facility Name: OHIO CVS STORES, LLC DBA CVS/PHARMACY #04445
  • Facility Address: 2620 WEST BREESE ROAD
    LIMA, OH
    ZIP 45806
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYNN ELWER
  • NPI Number: 1174626907
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2255630
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC DBA CVS/PHARMACY #04445
Street 2620 WEST BREESE ROAD
City LIMA
State OH
ZIP 45806
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Pharmacy
Lab Director LYNN ELWER

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