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36D2216855 CLIA NUMBER - WALGREENS #13007

Laboratory Demographics

CLIA Number: 36D2216855

Facility Name: WALGREENS #13007

Facility Address:
1040 POLARIS PARKWAY
COLUMBUS, OH
ZIP 43240
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Facility Phone Number: 614 781-1037

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1104055698

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 36D2216855
LAB Type Pharmacy
Facility Name WALGREENS #13007
Street 1040 POLARIS PARKWAY
City COLUMBUS
State OH
ZIP 43240
Phone 614 781-1037
CertificateType 4
CertificateEffectiveDate 3/16/2023
CertificateExpirationDate 3/15/2025
FacilityType Waiver

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