36D2279281 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #03032

Laboratory Demographics

  • CLIA Code: 36D2279281
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #03032
  • Facility Address: 4961 MONTICELLO BLVD
    RICHMOND HEIGHTS, OH
    ZIP 44143
  • Facility Phone: 216 291-1250
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIANA LOVELACE
  • NPI Number: 1578666087
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279281
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #03032
Street 4961 MONTICELLO BLVD
City RICHMOND HEIGHTS
State OH
ZIP 44143
Phone 216 291-1250
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 TIANA LOVELACE

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