36D2011773 CLIA NUMBER - WALGREENS #09385

Laboratory Demographics

  • CLIA Code: 36D2011773
  • Facility Name: WALGREENS #09385
  • Facility Address: 2012 SOUTH UNION AVENUE
    ALLIANCE, OH
    ZIP 44601
  • Facility Phone: (330) 829-3782
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN ROTH
  • NPI Number: 1053326009
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2011773
LAB Type Pharmacy
Facility Name WALGREENS #09385
Street 2012 SOUTH UNION AVENUE
City ALLIANCE
State OH
ZIP 44601
Phone 3308293782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director JONATHAN ROTH

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This page was last updated on: 5/18/2026