36D2279295 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #02840

Laboratory Demographics

  • CLIA Code: 36D2279295
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #02840
  • Facility Address: 5525 PARKSIDE DR
    MASON, OH
    ZIP 45040
  • Facility Phone: 513 398-7609
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE KIRK
  • NPI Number: 1891899621
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279295
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #02840
Street 5525 PARKSIDE DR
City MASON
State OH
ZIP 45040
Phone 513 398-7609
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 MICHELLE KIRK

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