36D2287171 CLIA NUMBER - WALGREENS 05549

Laboratory Demographics

  • CLIA Code: 36D2287171
  • Facility Name: WALGREENS 05549
  • Facility Address: 804 W MARKET ST
    WARREN, OH
    ZIP 44481
  • Facility Phone: 330 393-3033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAMIR ILAYYAN
  • NPI Number: 1508871534
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2287171
LAB Type Pharmacy
Facility Name WALGREENS 05549
Street 804 W MARKET ST
City WARREN
State OH
ZIP 44481
Phone 330 393-3033
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 TAMIR ILAYYAN

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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