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36D2279296 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #03333

Laboratory Demographics

CLIA Number: 36D2279296

Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #03333

Facility Address:
3171 WEST BLVD
CLEVELAND, OH
ZIP 44111
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Facility Phone Number: 216 281-3061

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1700093689

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 36D2279296
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #03333
Street 3171 WEST BLVD
City CLEVELAND
State OH
ZIP 44111
Phone 216 281-3061
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