36D2217390 CLIA NUMBER - WALGREENS #11846

Laboratory Demographics

  • CLIA Code: 36D2217390
  • Facility Name: WALGREENS #11846
  • Facility Address: 1213 N BARRON ST
    EATON, OH
    ZIP 45320
  • Facility Phone: 937 456-2694
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW HICKMAN
  • NPI Number: 1851582498
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2217390
LAB Type Pharmacy
Facility Name WALGREENS #11846
Street 1213 N BARRON ST
City EATON
State OH
ZIP 45320
Phone 937 456-2694
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director ANDREW HICKMAN

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