36D2041034 CLIA NUMBER - WALGREENS #10868

Laboratory Demographics

  • CLIA Code: 36D2041034
  • Facility Name: WALGREENS #10868
  • Facility Address: 1013 NORTH MAIN STREET
    BOWLING GREEN, OH
    ZIP 43402
  • Facility Phone: 419 352-1645
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: VICKIE VERMILYEA
  • NPI Number: 1316127855
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2041034
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #10868
Street 1013 NORTH MAIN STREET
City BOWLING GREEN
State OH
ZIP 43402
Phone 419 352-1645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director VICKIE VERMILYEA

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