36D2230701 CLIA NUMBER - WALGREENS #06521

Laboratory Demographics

  • CLIA Code: 36D2230701
  • Facility Name: WALGREENS #06521
  • Facility Address: 2609 E MAIN ST
    SPRINGFIELD, OH
    ZIP 45503
  • Facility Phone: 937 322-7586
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM D. STEPHENS
  • NPI Number: 1043225071
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2230701
LAB Type Pharmacy
Facility Name WALGREENS #06521
Street 2609 E MAIN ST
City SPRINGFIELD
State OH
ZIP 45503
Phone 937 322-7586
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 WILLIAM D. STEPHENS

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