36D2230677 CLIA NUMBER - WALGREENS #09093

Laboratory Demographics

CLIA Number: 36D2230677

Facility Name: WALGREENS #09093

Facility Address:
5195 N HAMILTON RD
COLUMBUS, OH
ZIP 43230
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Facility Phone Number: 614 476-0988

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1235144288

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	36D2230677
LAB Type	Pharmacy
Facility Name	WALGREENS #09093
Street	5195 N HAMILTON RD
City	COLUMBUS
State	OH
ZIP	43230
Phone	614 476-0988
CertificateType	4
CertificateEffectiveDate	7/27/2023
CertificateExpirationDate	7/26/2025
FacilityType	Waiver

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