36D2279298 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #02469

Laboratory Demographics

  • CLIA Code: 36D2279298
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #02469
  • Facility Address: 625 DOVER CENTER ROAD
    BAY VILLAGE, OH
    ZIP 44140
  • Facility Phone: 440 808-3921
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK ECCLESTONE
  • NPI Number: 1538263355
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2279298
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #02469
Street 625 DOVER CENTER ROAD
City BAY VILLAGE
State OH
ZIP 44140
Phone 440 808-3921
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 MARK ECCLESTONE

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: 9/29/2025