36D2279417 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #06953

Laboratory Demographics

  • CLIA Code: 36D2279417
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #06953
  • Facility Address: 6659 E MAIN ST
    REYNOLDSBURG, OH
    ZIP 43068
  • Facility Phone: 614 866-2280
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MILLICENT AYIM
  • NPI Number: 1962424762
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2279417
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #06953
Street 6659 E MAIN ST
City REYNOLDSBURG
State OH
ZIP 43068
Phone 614 866-2280
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 MILLICENT AYIM

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