36D2223928 CLIA NUMBER - WALGREENS #09903

Laboratory Demographics

  • CLIA Code: 36D2223928
  • Facility Name: WALGREENS #09903
  • Facility Address: 3800 TIPPECANOE RD
    YOUNGSTOWN, OH
    ZIP 44511
  • Facility Phone: 330 797-3205
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TINA M. COLUCCI
  • NPI Number: 1306998885
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2223928
LAB Type Pharmacy
Facility Name WALGREENS #09903
Street 3800 TIPPECANOE RD
City YOUNGSTOWN
State OH
ZIP 44511
Phone 330 797-3205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2023
Certificate Expiration Date 5/10/2025
Facility Type Pharmacy
Lab Director TINA M. COLUCCI

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