36D2191141 CLIA NUMBER - WALGREENS #04397

Laboratory Demographics

  • CLIA Code: 36D2191141
  • Facility Name: WALGREENS #04397
  • Facility Address: 7295 MARKET ST
    BOARDMAN, OH
    ZIP 44512
  • Facility Phone: 330 726-9374
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: JAMES S. WHITED II
  • NPI Number: 1770598799
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2191141
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #04397
Street 7295 MARKET ST
City BOARDMAN
State OH
ZIP 44512
Phone 330 726-9374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director JAMES S. WHITED II

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