36D2279275 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #03090

Laboratory Demographics

  • CLIA Code: 36D2279275
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #03090
  • Facility Address: 3 NORTH CLEVELAND AVE
    MOGADORE, OH
    ZIP 44260
  • Facility Phone: 330 628-1717
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH STOPER
  • NPI Number: 1235233909
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279275
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #03090
Street 3 NORTH CLEVELAND AVE
City MOGADORE
State OH
ZIP 44260
Phone 330 628-1717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Pharmacy
Lab Director SARAH STOPER

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This page was last updated on: 6/4/2025