36D2042532 CLIA NUMBER - WALGREENS #9409

Laboratory Demographics

  • CLIA Code: 36D2042532
  • Facility Name: WALGREENS #9409
  • Facility Address: 10003 FREMONT PIKE ROAD
    PERRYSBURG, OH
    ZIP 43551
  • Facility Phone: 419 872-8247
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA D. LONG
  • NPI Number: 1407861453
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2042532
LAB Type Pharmacy
Facility Name WALGREENS #9409
Street 10003 FREMONT PIKE ROAD
City PERRYSBURG
State OH
ZIP 43551
Phone 419 872-8247
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 MELISSA D. LONG

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