36D1086854 CLIA NUMBER - WALGREENS #11293

Laboratory Demographics

  • CLIA Code: 36D1086854
  • Facility Name: WALGREENS #11293
  • Facility Address: 300 GREENE STREET
    MARIETTA, OH
    ZIP 45750
  • Facility Phone: 847 527-4238
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY B. LESLIE
  • NPI Number: 1881876233
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1086854
LAB Type Pharmacy
Facility Name WALGREENS #11293
Street 300 GREENE STREET
City MARIETTA
State OH
ZIP 45750
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Pharmacy
Lab Director ZACHARY B. LESLIE

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