36D2041025 CLIA NUMBER - WALGREENS #05319

Laboratory Demographics

  • CLIA Code: 36D2041025
  • Facility Name: WALGREENS #05319
  • Facility Address: 925 WOODVILLE ROAD
    TOLEDO, OH
    ZIP 43605
  • Facility Phone: 419 693-4086
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEX J. WEBER
  • NPI Number: 1053326082
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2041025
LAB Type Pharmacy
Facility Name WALGREENS #05319
Street 925 WOODVILLE ROAD
City TOLEDO
State OH
ZIP 43605
Phone 419 693-4086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Pharmacy
Lab Director ALEX J. WEBER

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