36D2227737 CLIA NUMBER - WALGREENS #07861

Laboratory Demographics

  • CLIA Code: 36D2227737
  • Facility Name: WALGREENS #07861
  • Facility Address: 30 W MCKINLEY WAY
    POLAND, OH
    ZIP 44514
  • Facility Phone: 330 757-4752
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANK TUKALO
  • NPI Number: 1144235193
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2227737
LAB Type Pharmacy
Facility Name WALGREENS #07861
Street 30 W MCKINLEY WAY
City POLAND
State OH
ZIP 44514
Phone 330 757-4752
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director FRANK TUKALO

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