36D2043574 CLIA NUMBER - WALGREENS #13635

Laboratory Demographics

  • CLIA Code: 36D2043574
  • Facility Name: WALGREENS #13635
  • Facility Address: 6330 CINCINNATI-DAYTON ROAD
    LIBERTY TOWNSHIP, OH
    ZIP 45044
  • Facility Phone: 513 755-1831
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: ANDREW R. SMITH
  • NPI Number: 1912200981
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2043574
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #13635
Street 6330 CINCINNATI-DAYTON ROAD
City LIBERTY TOWNSHIP
State OH
ZIP 45044
Phone 513 755-1831
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director ANDREW R. SMITH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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