36D2287161 CLIA NUMBER - WALGREENS 10029

Laboratory Demographics

  • CLIA Code: 36D2287161
  • Facility Name: WALGREENS 10029
  • Facility Address: 27251 WOLF RD
    BAY VILLAGE, OH
    ZIP 44140
  • Facility Phone: 440 835-1450
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAMI A. COLEGROVE
  • NPI Number: 1063427029
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2287161
LAB Type Pharmacy
Facility Name WALGREENS 10029
Street 27251 WOLF RD
City BAY VILLAGE
State OH
ZIP 44140
Phone 440 835-1450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director TAMI A. COLEGROVE

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