36D2220634 CLIA NUMBER - WALGREENS #10295

Laboratory Demographics

  • CLIA Code: 36D2220634
  • Facility Name: WALGREENS #10295
  • Facility Address: 1321 DELAWARE AVE
    MARION, OH
    ZIP 43302
  • Facility Phone: 740 386-5146
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS S. PINKSTAFF
  • NPI Number: 1689801524
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2220634
LAB Type Pharmacy
Facility Name WALGREENS #10295
Street 1321 DELAWARE AVE
City MARION
State OH
ZIP 43302
Phone 740 386-5146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Pharmacy
Lab Director TRAVIS S. PINKSTAFF

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