36D2279506 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #04336

Laboratory Demographics

  • CLIA Code: 36D2279506
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #04336
  • Facility Address: 10380 NORTHFIELD ROAD
    NORTHFIELD, OH
    ZIP 44067
  • Facility Phone: 330 468-0132
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SINGH BALRAJ
  • NPI Number: 1033212683
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279506
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #04336
Street 10380 NORTHFIELD ROAD
City NORTHFIELD
State OH
ZIP 44067
Phone 330 468-0132
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 SINGH BALRAJ

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