36D2012120 CLIA NUMBER - WALGREENS #07441

Laboratory Demographics

  • CLIA Code: 36D2012120
  • Facility Name: WALGREENS #07441
  • Facility Address: 701 NORTH CABLE ROAD
    LIMA, OH
    ZIP 45805
  • Facility Phone: 419 222-9462
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMA J. SALGE
  • NPI Number: 1427063460
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2012120
LAB Type Pharmacy
Facility Name WALGREENS #07441
Street 701 NORTH CABLE ROAD
City LIMA
State OH
ZIP 45805
Phone 419 222-9462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Pharmacy
Lab Director JAMA J. SALGE

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