36D2007742 CLIA NUMBER - WALGREENS #12008

Laboratory Demographics

  • CLIA Code: 36D2007742
  • Facility Name: WALGREENS #12008
  • Facility Address: 1101 HILL ROAD NORTH
    PICKERINGTON, OH
    ZIP 43147
  • Facility Phone: 614 949-2723
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: KOKEB A. ABDULJELIL
  • NPI Number: 1790018752
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2007742
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #12008
Street 1101 HILL ROAD NORTH
City PICKERINGTON
State OH
ZIP 43147
Phone 614 949-2723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director KOKEB A. ABDULJELIL

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