36D2220919 CLIA NUMBER - WALGREENS #06522

Laboratory Demographics

  • CLIA Code: 36D2220919
  • Facility Name: WALGREENS #06522
  • Facility Address: 1880 S LIMESTONE ST
    SPRINGFIELD, OH
    ZIP 45505
  • Facility Phone: 937 322-5894
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REGINALD C. GAST
  • NPI Number: 1790790723
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2220919
LAB Type Pharmacy
Facility Name WALGREENS #06522
Street 1880 S LIMESTONE ST
City SPRINGFIELD
State OH
ZIP 45505
Phone 937 322-5894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director REGINALD C. GAST

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