Healther Providers Data Logo

36D2279514 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #04606

Laboratory Demographics

CLIA Number: 36D2279514

Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #04606

Facility Address:
620 E MARKET ST
WARREN, OH
ZIP 44481
Get Directions

Facility Phone Number: 330 393-5205

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1376646109

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 36D2279514
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #04606
Street 620 E MARKET ST
City WARREN
State OH
ZIP 44481
Phone 330 393-5205
CertificateType 4
CertificateEffectiveDate 4/3/2023
CertificateExpirationDate 4/2/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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