36D2011154 CLIA NUMBER - WALGREENS #04246

Laboratory Demographics

  • CLIA Code: 36D2011154
  • Facility Name: WALGREENS #04246
  • Facility Address: 2320 BOUDINOT AVENUE
    CINCINNATI, OH
    ZIP 45238
  • Facility Phone: 513 347-3359
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOLLY C. WEST
  • NPI Number: 1417964412
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2011154
LAB Type Pharmacy
Facility Name WALGREENS #04246
Street 2320 BOUDINOT AVENUE
City CINCINNATI
State OH
ZIP 45238
Phone 513 347-3359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director HOLLY C. WEST

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