36D2062726 CLIA NUMBER - WALGREENS #09377

Laboratory Demographics

  • CLIA Code: 36D2062726
  • Facility Name: WALGREENS #09377
  • Facility Address: 2124 E STATE ST
    SALEM, OH
    ZIP 44460
  • Facility Phone: 330 337-8001
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE M. CARSON
  • NPI Number: 1982619946
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2062726
LAB Type Pharmacy
Facility Name WALGREENS #09377
Street 2124 E STATE ST
City SALEM
State OH
ZIP 44460
Phone 330 337-8001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Pharmacy
Lab Director JACQUELINE M. CARSON

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