36D2007762 CLIA NUMBER - WALGREENS #09733

Laboratory Demographics

  • CLIA Code: 36D2007762
  • Facility Name: WALGREENS #09733
  • Facility Address: 1300 E 2ND ST
    FRANKLIN, OH
    ZIP 45005
  • Facility Phone: 937 743-9609
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA L. HASBROOK
  • NPI Number: 1871791053
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2007762
LAB Type Pharmacy
Facility Name WALGREENS #09733
Street 1300 E 2ND ST
City FRANKLIN
State OH
ZIP 45005
Phone 937 743-9609
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director REBECCA L. HASBROOK

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