36D2011156 CLIA NUMBER - WALGREENS #07470

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Laboratory Demographics

CLIA Number: 36D2011156

Facility Name: WALGREENS #07470

Facility Address:
1032 HARRISON AVENUE
HARRISON, OH
ZIP 45030
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Facility Phone Number: 513 367-2127

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1215942214

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	36D2011156
LAB Type	Pharmacy
Facility Name	WALGREENS #07470
Street	1032 HARRISON AVENUE
City	HARRISON
State	OH
ZIP	45030
Phone	513 367-2127
CertificateType	4
CertificateEffectiveDate	10/13/2023
CertificateExpirationDate	10/12/2025
FacilityType	Waiver

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