36D2041028 CLIA NUMBER - WALGREENS #09483

Laboratory Demographics

  • CLIA Code: 36D2041028
  • Facility Name: WALGREENS #09483
  • Facility Address: 1829 NORTH CLINTON STREET
    DEFIANCE, OH
    ZIP 43512
  • Facility Phone: 419 782-2499
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: SARAH E. SAWYER
  • NPI Number: 1790790756
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2041028
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #09483
Street 1829 NORTH CLINTON STREET
City DEFIANCE
State OH
ZIP 43512
Phone 419 782-2499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director SARAH E. SAWYER

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