36D2279302 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #02588

Laboratory Demographics

  • CLIA Code: 36D2279302
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #02588
  • Facility Address: 36008 DETROIT AVE
    AVON, OH
    ZIP 44011
  • Facility Phone: 440 937-4027
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KALLEEN ORLANDO
  • NPI Number: 1821010539
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279302
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #02588
Street 36008 DETROIT AVE
City AVON
State OH
ZIP 44011
Phone 440 937-4027
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 KALLEEN ORLANDO

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