36D2230741 CLIA NUMBER - WALGREENS #03792

Laboratory Demographics

  • CLIA Code: 36D2230741
  • Facility Name: WALGREENS #03792
  • Facility Address: 9520 FIELDS ERTEL RD
    LOVELAND, OH
    ZIP 45140
  • Facility Phone: 513 583-9273
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEAN M. ORTMAN
  • NPI Number: 1306851308
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2230741
LAB Type Pharmacy
Facility Name WALGREENS #03792
Street 9520 FIELDS ERTEL RD
City LOVELAND
State OH
ZIP 45140
Phone 513 583-9273
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 JEAN M. ORTMAN

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