36D2012690 CLIA NUMBER - WALGREENS #04776

Laboratory Demographics

  • CLIA Code: 36D2012690
  • Facility Name: WALGREENS #04776
  • Facility Address: 900 WOOSTER ROAD N
    BARBERTON, OH
    ZIP 44203
  • Facility Phone: 330 745-2674
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH E. LEAMMAN
  • NPI Number: 1508871526
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2012690
LAB Type Pharmacy
Facility Name WALGREENS #04776
Street 900 WOOSTER ROAD N
City BARBERTON
State OH
ZIP 44203
Phone 330 745-2674
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director SARAH E. LEAMMAN

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