36D2227747 CLIA NUMBER - WALGREENS #07940

Laboratory Demographics

CLIA Number: 36D2227747

Facility Name: WALGREENS #07940

Facility Address:
748 N STATE ST
WESTERVILLE, OH
ZIP 43082
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Facility Phone Number: 614 865-0352

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972518926

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	36D2227747
LAB Type	Pharmacy
Facility Name	WALGREENS #07940
Street	748 N STATE ST
City	WESTERVILLE
State	OH
ZIP	43082
Phone	614 865-0352
CertificateType	4
CertificateEffectiveDate	6/16/2023
CertificateExpirationDate	6/15/2025
FacilityType	Waiver

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