36D2043577 CLIA NUMBER - WALGREENS #05906

Laboratory Demographics

  • CLIA Code: 36D2043577
  • Facility Name: WALGREENS #05906
  • Facility Address: 2562 NAVARRE AVENUE
    OREGON, OH
    ZIP 43616
  • Facility Phone: 419 693-9034
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAMMY L. BERRY
  • NPI Number: 1861407892
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2043577
LAB Type Pharmacy
Facility Name WALGREENS #05906
Street 2562 NAVARRE AVENUE
City OREGON
State OH
ZIP 43616
Phone 419 693-9034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Pharmacy
Lab Director TAMMY L. BERRY

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