36D2279498 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #04309

Laboratory Demographics

  • CLIA Code: 36D2279498
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #04309
  • Facility Address: 1711 STATE RD
    CUYAHOGA FALLS, OH
    ZIP 44223
  • Facility Phone: 330 929-4203
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY YOUNG
  • NPI Number: 1093818726
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279498
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #04309
Street 1711 STATE RD
City CUYAHOGA FALLS
State OH
ZIP 44223
Phone 330 929-4203
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 KIMBERLY YOUNG

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