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36D2224259 CLIA NUMBER - WALGREENS #06378

Laboratory Demographics

CLIA Number: 36D2224259

Facility Name: WALGREENS #06378

Facility Address:
2770 W BROAD ST
COLUMBUS, OH
ZIP 43204
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Facility Phone Number: 614 276-9745

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1316952344

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 36D2224259
LAB Type Pharmacy
Facility Name WALGREENS #06378
Street 2770 W BROAD ST
City COLUMBUS
State OH
ZIP 43204
Phone 614 276-9745
CertificateType 4
CertificateEffectiveDate 5/12/2023
CertificateExpirationDate 5/11/2025
FacilityType Waiver

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