36D2279471 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #06084

Laboratory Demographics

  • CLIA Code: 36D2279471
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #06084
  • Facility Address: 123 SPRING ST
    OXFORD, OH
    ZIP 45056
  • Facility Phone: 513 523-6378
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA CRUXTON
  • NPI Number: 1386747095
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279471
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #06084
Street 123 SPRING ST
City OXFORD
State OH
ZIP 45056
Phone 513 523-6378
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 JESSICA CRUXTON

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