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36D2221820 CLIA NUMBER - WALGREENS #17284

Laboratory Demographics

CLIA Number: 36D2221820

Facility Name: WALGREENS #17284

Facility Address:
432 32ND ST
BELLAIRE, OH
ZIP 43906
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Facility Phone Number: 740 340-3152

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1104341072

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 36D2221820
LAB Type Pharmacy
Facility Name WALGREENS #17284
Street 432 32ND ST
City BELLAIRE
State OH
ZIP 43906
Phone 740 340-3152
CertificateType 4
CertificateEffectiveDate 4/26/2023
CertificateExpirationDate 4/25/2025
FacilityType Waiver

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