36D2011625 CLIA NUMBER - WALGREENS #07942

Laboratory Demographics

  • CLIA Code: 36D2011625
  • Facility Name: WALGREENS #07942
  • Facility Address: 4617 EAST MAIN STREET
    WHITEHALL, OH
    ZIP 43213
  • Facility Phone: 614 868-1224
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERICA LAFORTE
  • NPI Number: 1700087046
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2011625
LAB Type Pharmacy
Facility Name WALGREENS #07942
Street 4617 EAST MAIN STREET
City WHITEHALL
State OH
ZIP 43213
Phone 614 868-1224
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 ERICA LAFORTE

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