36D2011436 CLIA NUMBER - WALGREENS #07799

Laboratory Demographics

  • CLIA Code: 36D2011436
  • Facility Name: WALGREENS #07799
  • Facility Address: 850 N BRIDGE ST
    CHILLICOTHE, OH
    ZIP 45601
  • Facility Phone: 740 779-2905
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DORA PSIAKIS
  • NPI Number: 1437164480
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2011436
LAB Type Pharmacy
Facility Name WALGREENS #07799
Street 850 N BRIDGE ST
City CHILLICOTHE
State OH
ZIP 45601
Phone 740 779-2905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director DORA PSIAKIS

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