36D2011437 CLIA NUMBER - WALGREENS #05203

Laboratory Demographics

  • CLIA Code: 36D2011437
  • Facility Name: WALGREENS #05203
  • Facility Address: 1090 HIGH STREET
    HAMILTON, OH
    ZIP 45011
  • Facility Phone: 513 868-1667
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. KELLY M. HOFFMAN
  • NPI Number: 1770598773
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2011437
LAB Type Pharmacy
Facility Name WALGREENS #05203
Street 1090 HIGH STREET
City HAMILTON
State OH
ZIP 45011
Phone 513 868-1667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Pharmacy
Lab Director MS. KELLY M. HOFFMAN

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