36D2279497 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #04054

Laboratory Demographics

  • CLIA Code: 36D2279497
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #04054
  • Facility Address: 8001 WEST 130TH STREET
    NORTH ROYALTON, OH
    ZIP 44133
  • Facility Phone: 440 845-6444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATALIE MEMORICH
  • NPI Number: 1265535082
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279497
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #04054
Street 8001 WEST 130TH STREET
City NORTH ROYALTON
State OH
ZIP 44133
Phone 440 845-6444
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 NATALIE MEMORICH

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