36D2279408 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #06950

Laboratory Demographics

  • CLIA Code: 36D2279408
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #06950
  • Facility Address: 2680 N HIGH ST
    COLUMBUS, OH
    ZIP 43202
  • Facility Phone: 614 267-5607
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAYLOR THIBEAUX
  • NPI Number: 1245333947
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279408
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #06950
Street 2680 N HIGH ST
City COLUMBUS
State OH
ZIP 43202
Phone 614 267-5607
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 TAYLOR THIBEAUX

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