36D2279292 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #03094

Laboratory Demographics

  • CLIA Code: 36D2279292
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #03094
  • Facility Address: 379 E MAIN ST
    NEWARK, OH
    ZIP 43055
  • Facility Phone: 740 345-4201
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEX MILLIKEN
  • NPI Number: 1972607646
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279292
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #03094
Street 379 E MAIN ST
City NEWARK
State OH
ZIP 43055
Phone 740 345-4201
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 ALEX MILLIKEN

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