36D2223544 CLIA NUMBER - WALGREENS #12830

Laboratory Demographics

  • CLIA Code: 36D2223544
  • Facility Name: WALGREENS #12830
  • Facility Address: 3 W CORRY ST
    CINCINNATI, OH
    ZIP 45219
  • Facility Phone: 513 751-3444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE M. CADY
  • NPI Number: 1063427060
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2223544
LAB Type Pharmacy
Facility Name WALGREENS #12830
Street 3 W CORRY ST
City CINCINNATI
State OH
ZIP 45219
Phone 513 751-3444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Pharmacy
Lab Director STEPHANIE M. CADY

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