36D2011442 CLIA NUMBER - WALGREENS #02694

Laboratory Demographics

  • CLIA Code: 36D2011442
  • Facility Name: WALGREENS #02694
  • Facility Address: 385 NORTHLAND BOULEVARD
    CINCINNATI, OH
    ZIP 45240
  • Facility Phone: 513 825-6446
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALAN W. PARKER
  • NPI Number: 1033124037
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2011442
LAB Type Pharmacy
Facility Name WALGREENS #02694
Street 385 NORTHLAND BOULEVARD
City CINCINNATI
State OH
ZIP 45240
Phone 513 825-6446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director ALAN W. PARKER

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