36D2279289 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #02735

Laboratory Demographics

  • CLIA Code: 36D2279289
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #02735
  • Facility Address: 4280 MORSE RD
    COLUMBUS, OH
    ZIP 43230
  • Facility Phone: (614) 473-1123
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KALEB MUKINA
  • NPI Number: 1629172457
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2279289
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #02735
Street 4280 MORSE RD
City COLUMBUS
State OH
ZIP 43230
Phone 6144731123
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 KALEB MUKINA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026