36D2011627 CLIA NUMBER - WALGREENS #10810

Laboratory Demographics

  • CLIA Code: 36D2011627
  • Facility Name: WALGREENS #10810
  • Facility Address: 764 HEBRON ROAD
    HEATH, OH
    ZIP 43056
  • Facility Phone: 740 522-6523
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEANNINE WASHER
  • NPI Number: 1083757546
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2011627
LAB Type Pharmacy
Facility Name WALGREENS #10810
Street 764 HEBRON ROAD
City HEATH
State OH
ZIP 43056
Phone 740 522-6523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Pharmacy
Lab Director JEANNINE WASHER

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