36D2279516 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #04621

Laboratory Demographics

  • CLIA Code: 36D2279516
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #04621
  • Facility Address: 1001 NORTON RD
    GALLOWAY, OH
    ZIP 43119
  • Facility Phone: 614 853-3836
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALI MOHAMMAD
  • NPI Number: 1710080544
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279516
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #04621
Street 1001 NORTON RD
City GALLOWAY
State OH
ZIP 43119
Phone 614 853-3836
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 ALI MOHAMMAD

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