36D2230899 CLIA NUMBER - WALGREENS #07941

Laboratory Demographics

  • CLIA Code: 36D2230899
  • Facility Name: WALGREENS #07941
  • Facility Address: 1400 MICHIGAN ST
    SIDNEY, OH
    ZIP 45365
  • Facility Phone: 937 492-5340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT J. SLONE
  • NPI Number: 1245245299
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2230899
LAB Type Pharmacy
Facility Name WALGREENS #07941
Street 1400 MICHIGAN ST
City SIDNEY
State OH
ZIP 45365
Phone 937 492-5340
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 ROBERT J. SLONE

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