36D2011153 CLIA NUMBER - WALGREENS 03864

Laboratory Demographics

  • CLIA Code: 36D2011153
  • Facility Name: WALGREENS 03864
  • Facility Address: 719 OHIO PIKE
    CINCINNATI, OH
    ZIP 45245
  • Facility Phone: 513 753-7578
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAUSHIK BHATIA
  • NPI Number: 1225043243
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2011153
LAB Type Pharmacy
Facility Name WALGREENS 03864
Street 719 OHIO PIKE
City CINCINNATI
State OH
ZIP 45245
Phone 513 753-7578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Pharmacy
Lab Director KAUSHIK BHATIA

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This page was last updated on: 6/4/2025