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

Laboratory Demographics

CLIA Number: 36D2279498

Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #04309

Facility Address:
1711 STATE RD
CUYAHOGA FALLS, OH
ZIP 44223
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Facility Phone Number: 330 929-4203

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1093818726

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 4/3/2023
CertificateExpirationDate 4/2/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024