36D2011445 CLIA NUMBER - WALGREENS #02136

Laboratory Demographics

  • CLIA Code: 36D2011445
  • Facility Name: WALGREENS #02136
  • Facility Address: 4090 EAST GALBRAITH ROAD
    DEER PARK, OH
    ZIP 45236
  • Facility Phone: 513 891-2808
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SONYA L. HOGE
  • NPI Number: 1235144239
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2011445
LAB Type Pharmacy
Facility Name WALGREENS #02136
Street 4090 EAST GALBRAITH ROAD
City DEER PARK
State OH
ZIP 45236
Phone 513 891-2808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director SONYA L. HOGE

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