36D2220928 CLIA NUMBER - WALGREENS #03807

Laboratory Demographics

  • CLIA Code: 36D2220928
  • Facility Name: WALGREENS #03807
  • Facility Address: 5508 BRIDGETOWN RD
    CINCINNATI, OH
    ZIP 45248
  • Facility Phone: 513 574-1978
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARY R. GROH
  • NPI Number: 1154336154
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2220928
LAB Type Pharmacy
Facility Name WALGREENS #03807
Street 5508 BRIDGETOWN RD
City CINCINNATI
State OH
ZIP 45248
Phone 513 574-1978
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 GARY R. GROH

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This page was last updated on: 3/20/2025