36D2011448 CLIA NUMBER - WALGREENS #05762

Laboratory Demographics

  • CLIA Code: 36D2011448
  • Facility Name: WALGREENS #05762
  • Facility Address: 7804 CINCINNATI-DAYTON RD
    WEST CHESTER, OH
    ZIP 45069
  • Facility Phone: 513 779-8302
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATIE E. MARTIN
  • NPI Number: 1558647982
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2011448
LAB Type Pharmacy
Facility Name WALGREENS #05762
Street 7804 CINCINNATI-DAYTON RD
City WEST CHESTER
State OH
ZIP 45069
Phone 513 779-8302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director KATIE E. MARTIN

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