36D2279375 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #06094

Laboratory Demographics

  • CLIA Code: 36D2279375
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #06094
  • Facility Address: 9546 MONTGOMERY RD
    MONTGOMERY, OH
    ZIP 45242
  • Facility Phone: 513 793-4451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SERENA AUYEUNG-CHANG
  • NPI Number: 1821191586
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2279375
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #06094
Street 9546 MONTGOMERY RD
City MONTGOMERY
State OH
ZIP 45242
Phone 513 793-4451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Pharmacy
Lab Director SERENA AUYEUNG-CHANG

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