36D2019279 CLIA NUMBER - WALGREENS #07900

Laboratory Demographics

  • CLIA Code: 36D2019279
  • Facility Name: WALGREENS #07900
  • Facility Address: 2203 BEECHMONT AVENUE
    MOUNT WASHINGTON, OH
    ZIP 45230
  • Facility Phone: 513 232-7200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN D. BISHER
  • NPI Number: 1235146259
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2019279
LAB Type Pharmacy
Facility Name WALGREENS #07900
Street 2203 BEECHMONT AVENUE
City MOUNT WASHINGTON
State OH
ZIP 45230
Phone 513 232-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Pharmacy
Lab Director KEVIN D. BISHER

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