36D2230677 CLIA NUMBER - WALGREENS #09093

Laboratory Demographics

  • CLIA Code: 36D2230677
  • Facility Name: WALGREENS #09093
  • Facility Address: 5195 N HAMILTON RD
    COLUMBUS, OH
    ZIP 43230
  • Facility Phone: 614 476-0988
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EBRAM C. BOTROS
  • NPI Number: 1235144288
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2230677
LAB Type Pharmacy
Facility Name WALGREENS #09093
Street 5195 N HAMILTON RD
City COLUMBUS
State OH
ZIP 43230
Phone 614 476-0988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Pharmacy
Lab Director EBRAM C. BOTROS

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