36D2230783 CLIA NUMBER - WALGREENS #05205

Laboratory Demographics

  • CLIA Code: 36D2230783
  • Facility Name: WALGREENS #05205
  • Facility Address: 1086 READING RD
    MASON, OH
    ZIP 45040
  • Facility Phone: 513 754-1443
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNA OVERBECK
  • NPI Number: 1134134133
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2230783
LAB Type Pharmacy
Facility Name WALGREENS #05205
Street 1086 READING RD
City MASON
State OH
ZIP 45040
Phone 513 754-1443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director ANNA OVERBECK

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