36D2050326 CLIA NUMBER - WALGREENS #04893

Laboratory Demographics

  • CLIA Code: 36D2050326
  • Facility Name: WALGREENS #04893
  • Facility Address: 12110 LEBANON RD
    SHARONVILLE, OH
    ZIP 45241
  • Facility Phone: 513 769-8188
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARA TREMAGLIO
  • NPI Number: 1871508879
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2050326
LAB Type Pharmacy
Facility Name WALGREENS #04893
Street 12110 LEBANON RD
City SHARONVILLE
State OH
ZIP 45241
Phone 513 769-8188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director MARA TREMAGLIO

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