36D2007738 CLIA NUMBER - WALGREENS #06118

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Laboratory Demographics

CLIA Number: 36D2007738

Facility Name: WALGREENS #06118

Facility Address:
3583 EAST BROAD STREET
COLUMBUS, OH
ZIP 43213
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Facility Phone Number: 469 705-8184

Facility Type: Other - COVID-19 TEST SITE

Certificate Type: Waiver

NPI Number: 1346255379

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	36D2007738
LAB Type	Other - COVID-19 TEST SITE
Facility Name	WALGREENS #06118
Street	3583 EAST BROAD STREET
City	COLUMBUS
State	OH
ZIP	43213
Phone	469 705-8184
CertificateType	4
CertificateEffectiveDate	9/9/2022
CertificateExpirationDate	9/8/2024
FacilityType	Waiver

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