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36D2215824 CLIA NUMBER - WALGREENS #10956

Laboratory Demographics

CLIA Number: 36D2215824

Facility Name: WALGREENS #10956

Facility Address:
4 E LEAGUE ST
NORWALK, OH
ZIP 44857
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Facility Phone Number: 419 668-0424

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1821294620

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 36D2215824
LAB Type Pharmacy
Facility Name WALGREENS #10956
Street 4 E LEAGUE ST
City NORWALK
State OH
ZIP 44857
Phone 419 668-0424
CertificateType 4
CertificateEffectiveDate 3/8/2023
CertificateExpirationDate 3/7/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024