36D2011624 CLIA NUMBER - WALGREENS #07525

Laboratory Demographics

  • CLIA Code: 36D2011624
  • Facility Name: WALGREENS #07525
  • Facility Address: 2150 E DUBLIN-GRANVILLE RD
    COLUMBUS, OH
    ZIP 43229
  • Facility Phone: 614 523-1165
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEKDES KEBEDE
  • NPI Number: 1063427003
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director MEKDES KEBEDE

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