36D2011624 CLIA NUMBER - WALGREENS #07525

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Laboratory Demographics

CLIA Number: 36D2011624

Facility Name: WALGREENS #07525

Facility Address:
2150 E DUBLIN-GRANVILLE RD
COLUMBUS, OH
ZIP 43229
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Facility Phone Number: 614 523-1165

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1063427003

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	36D2011624
LAB Type	Pharmacy
Facility Name	WALGREENS #07525
Street	2150 E DUBLIN-GRANVILLE RD
City	COLUMBUS
State	OH
ZIP	43229
Phone	614 523-1165
CertificateType	4
CertificateEffectiveDate	5/11/2023
CertificateExpirationDate	5/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024