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

Laboratory Demographics

CLIA Number: 36D2279281

Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #03032

Facility Address:
4961 MONTICELLO BLVD
RICHMOND HEIGHTS, OH
ZIP 44143
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Facility Phone Number: 216 291-1250

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1578666087

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 3/31/2023
CertificateExpirationDate 3/30/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024