36D2230799 CLIA NUMBER - WALGREENS #04521

Laboratory Demographics

  • CLIA Code: 36D2230799
  • Facility Name: WALGREENS #04521
  • Facility Address: 6495 TROY PIKE
    HUBER HEIGHTS, OH
    ZIP 45424
  • Facility Phone: 937 236-6054
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEAH M. KINDER
  • NPI Number: 1033124052
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2230799
LAB Type Pharmacy
Facility Name WALGREENS #04521
Street 6495 TROY PIKE
City HUBER HEIGHTS
State OH
ZIP 45424
Phone 937 236-6054
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 LEAH M. KINDER

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