36D2220634 CLIA NUMBER - WALGREENS #10295

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Laboratory Demographics

CLIA Number: 36D2220634

Facility Name: WALGREENS #10295

Facility Address:
1321 DELAWARE AVE
MARION, OH
ZIP 43302
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Facility Phone Number: 740 386-5146

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1689801524

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	36D2220634
LAB Type	Pharmacy
Facility Name	WALGREENS #10295
Street	1321 DELAWARE AVE
City	MARION
State	OH
ZIP	43302
Phone	740 386-5146
CertificateType	4
CertificateEffectiveDate	4/14/2023
CertificateExpirationDate	4/13/2025
FacilityType	Waiver

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