36D2279449 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #09898

Laboratory Demographics

  • CLIA Code: 36D2279449
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #09898
  • Facility Address: 2929 STELZER RD
    COLUMBUS, OH
    ZIP 43219
  • Facility Phone: 614 337-6210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LA NIKKI THOMAS
  • NPI Number: 1417055138
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279449
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #09898
Street 2929 STELZER RD
City COLUMBUS
State OH
ZIP 43219
Phone 614 337-6210
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 LA NIKKI THOMAS

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