36D2011447 CLIA NUMBER - WALGREENS #04522

Laboratory Demographics

  • CLIA Code: 36D2011447
  • Facility Name: WALGREENS #04522
  • Facility Address: 9775 COLERAIN AVENUE
    CINCINNATI, OH
    ZIP 45251
  • Facility Phone: 513 385-6900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY A. YOUNG
  • NPI Number: 1326053323
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2011447
LAB Type Pharmacy
Facility Name WALGREENS #04522
Street 9775 COLERAIN AVENUE
City CINCINNATI
State OH
ZIP 45251
Phone 513 385-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director GREGORY A. YOUNG

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This page was last updated on: 3/20/2025