36D2230754 CLIA NUMBER - WALGREENS #04731

Laboratory Demographics

  • CLIA Code: 36D2230754
  • Facility Name: WALGREENS #04731
  • Facility Address: 6901 MIAMI AVE
    MADEIRA, OH
    ZIP 45243
  • Facility Phone: 513 272-3409
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DINA M. ABOUELSEOUD
  • NPI Number: 1881609808
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2230754
LAB Type Pharmacy
Facility Name WALGREENS #04731
Street 6901 MIAMI AVE
City MADEIRA
State OH
ZIP 45243
Phone 513 272-3409
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 DINA M. ABOUELSEOUD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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